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Individual

DR. BRIAN ROBERT CHISDAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, DMD

Contact information

Practice address
1994 STADIUM DR., BOZEMAN, MT 59715
(406) 587-0767
(406) 587-2120
Mailing address
1994 STADIUM DR., BOZEMAN, MT 59715
(406) 587-0767
(406) 587-2120

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9512
MT

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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