Organization
STONEHORSE DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BAGNELL DDS (PRESIDENT)
(406) 261-3407
Entity
Organization
Contact information
Practice address
39821 STONE HORSE DRIVE, POLSON, MT 59860
(406) 261-6607
Mailing address
29805 ROCKY POINT RD, POLSON, MT 59860-8253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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