Organization
HEALTHY SMILES MOBILE DENTAL HYGIENE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SPRING RDH (PRESIDENT)
(406) 581-5293
Entity
Organization
Contact information
Practice address
105 GREY WOLF TRL, BOZEMAN, MT 59718-7677
(406) 581-5293
(406) 581-5293
Mailing address
105 GREY WOLF TRL, BOZEMAN, MT 59718-7677
(406) 581-5293
(406) 763-4637
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
MT-1008
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972913176
—
MT
Enumeration date
10/10/2017
Last updated
10/10/2017
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