Organization
MONTANA CENTER FOR LASER DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE CLAY (CFO)
(406) 862-1010
Entity
Organization
Contact information
Practice address
6516 US HIGHWAY 93 S, WHITEFISH, MT 59937-2916
(406) 862-1010
Mailing address
6516 US HIGHWAY 93 S, WHITEFISH, MT 59937-2916
(406) 862-1010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D1682
MT
122300000X
Dentist
D1887
MT
122300000X
Dentist
Primary
D2274
MT
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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