Individual
MS. DENNIS R LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5872 EASTSIDE HWY, FLORENCE, MT 59833-6942
(406) 273-6266
(406) 273-2911
Mailing address
5872 EASTSIDE HWY, FLORENCE, MT 59833-6942
(406) 273-6266
(406) 273-2911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1807
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114283
—
MT
Enumeration date
12/12/2006
Last updated
07/08/2007
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