Organization
PREMIER CHOICE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W BENNION DDS, MD (MANAGER)
(406) 671-0496
Entity
Organization
Contact information
Practice address
8707 JACKRABBIT LN, BELGRADE, MT 59714-8995
(406) 671-0496
Mailing address
8707 JACKRABBIT LN, BELGRADE, MT 59714-8995
(406) 671-0496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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