Organization
SILVERCREEK FAMILY DENTISTRY PLLC
Active
Other names
Silvercreek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON JOHN GUNDERSEN DMD (MANAGING MEMBER)
(406) 494-7058
Entity
Organization
Contact information
Practice address
245 E PARK ST, BUTTE, MT 59701-1829
(406) 494-7058
Mailing address
245 E PARK ST, BUTTE, MT 59701-1829
(406) 494-7058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7806
MT
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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