Organization
DENTAL DISTINCTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L. NELSON DDS (PRESIDENT)
(406) 755-4166
Entity
Organization
Contact information
Practice address
50 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
(406) 755-4166
(406) 755-4644
Mailing address
50 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
(406) 755-4166
(406) 755-4644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1888
MT
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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