Organization
HAMILTON ADVANCED DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI K JOHNSON DDS (PRESIDENT)
(406) 363-2421
Entity
Organization
Contact information
Practice address
215 N 10TH ST STE A, HAMILTON, MT 59840-2328
(406) 363-2421
(406) 363-4541
Mailing address
215 N 10TH ST STE A, HAMILTON, MT 59840-2328
(406) 363-2421
(406) 363-2425
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN-DEN-LIC-9616
MT
Other
Enumeration date
07/01/2015
Last updated
01/03/2017
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