Individual
ALFORD MARK RITTENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
2509 7TH AVE S STE D1, GREAT FALLS, MT 59405-3031
(406) 453-5808
(406) 453-5899
Mailing address
512 FOX CT, GREAT FALLS, MT 59404-3874
(406) 761-4722
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
16
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150176
—
MT
Enumeration date
03/14/2007
Last updated
07/08/2007
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