Individual
ROBERT JOHN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, FAGD, PC
Contact information
Practice address
1010 PARTRIDGE PL, HELENA, MT 59602-0516
(406) 449-7813
(406) 495-6092
Mailing address
1010 PARTRIDGE PL, HELENA, MT 59602-0516
(406) 449-7813
(406) 495-6092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1914
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112999
—
MT
Enumeration date
07/14/2006
Last updated
07/09/2007
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