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Individual

DR. DAVID GLENN MATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2523
Mailing address
904 DURANGO DR, GREAT FALLS, MT 59404-3708
(406) 727-0501

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2027
MT

Other

Enumeration date
07/26/2006
Last updated
07/08/2007
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