Individual
DR. JACK DAIGREPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2376 MAIN ST STE 812, BILLINGS, MT 59105-4018
(406) 656-5200
Mailing address
239 MAIN ST, ROUNDUP, MT 59072-2735
(406) 323-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21648
MT
Other
Enumeration date
06/06/2016
Last updated
10/11/2024
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