Organization
RIVER TOWN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BAGNELL (DENTIST)
(406) 626-2550
Entity
Organization
Contact information
Practice address
1608 MAIN STREET, THOMPSON FALLS, MT 59873-5987
(406) 827-4681
(406) 827-4781
Mailing address
PO BOX 39, THOMPSON FALLS, MT 59873-0039
(406) 827-4681
(406) 827-4781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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