Individual
KRISTEN HEATHER TINERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 STEPHENS AVE, SUITE 104, MISSOULA, MT 59801-6659
(406) 829-8900
Mailing address
2100 STEPHENS AVE, SUITE 104, MISSOULA, MT 59801-6659
(406) 829-8900
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
26
MT
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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