Organization
QUEEN CITY DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARISSA MICHELLE MARTIN DDS (DENTIST/OWNER)
(406) 449-1300
Entity
Organization
Contact information
Practice address
1300 N. MONTANA AVE, HELENA, MT 59601
(406) 449-1300
(406) 449-1311
Mailing address
1300 N MONTANA AVE, HELENA, MT 59601-3507
(406) 461-4445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2386
MT
Other
Enumeration date
06/22/2016
Last updated
12/06/2019
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