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Individual

DR. STEVEN BLAINE JUSTESEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1125 W KAGY BLVD STE 303, BOZEMAN, MT 59715-5879
(406) 587-2201
(406) 587-0880
Mailing address
1125 W KAGY BLVD STE 303, BOZEMAN, MT 59715-5879
(406) 587-2201
(406) 587-0880

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D-4511
ID
1223G0001X
General Practice Dentistry
DE60476566
WA
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-13422
MT

Other

Enumeration date
07/17/2013
Last updated
04/23/2018
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