Organization
CASCADE FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGHTON ROGER HOLLEY III DDS (MANAGER)
(406) 315-8004
Entity
Organization
Contact information
Practice address
2507 6TH AVE S, GREAT FALLS, MT 59405-3013
(406) 315-8004
(406) 315-8003
Mailing address
PO BOX 36, SUN RIVER, MT 59483-0036
(406) 315-8004
(406) 315-8003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6079
MT
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/18/2014
Last updated
07/02/2014
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