Individual
MR. RONALD BRENT KANDARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
1370 AIRPORT ROAD, KALISPELL, MT 59901
(406) 257-5283
(406) 752-7605
Mailing address
1370 AIRPORT ROAD, KALISPELL, MT 59901
(406) 257-5283
(406) 752-7605
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
2
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150033
—
MT
05
—
7754474
—
MT
Enumeration date
09/01/2006
Last updated
07/08/2007
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