Organization
AD ASTRA, LLC
Active
Other names
Prairie Mountain Dentistry, Prairie Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN HICKS DMD (PRESIDENT)
(406) 868-4549
Entity
Organization
Contact information
Practice address
736 N LAST CHANCE GULCH, HELENA, MT 59601-3319
(406) 430-1143
Mailing address
1900 E 6TH AVE, HELENA, MT 59601-4765
(406) 868-4549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
10/11/2021
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