Organization
MARTIN K. COONEN, DDS PC
Active
Other names
Coonen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN K COONEN DDS (DENTIST/PRESIDENT)
(406) 442-3190
Entity
Organization
Contact information
Practice address
64 MEDICAL PARK DR STE 1, HELENA, MT 59601-4903
(406) 442-3190
Mailing address
64 MEDICAL PARK DR STE 1, HELENA, MT 59601-4903
(406) 442-3190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2313
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000124618
—
MT
05
—
0000258063
—
MT
Enumeration date
11/29/2012
Last updated
02/25/2013
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