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Individual

DR. SHANE CLAY HOFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
203 BUSINESS CENTER LOOP STE C, KALISPELL, MT 59901-6885
(406) 396-1703
Mailing address
112 TAMARACK WOODS DR, LAKESIDE, MT 59922-9642
(406) 396-1703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-17427
MT
1223G0001X
General Practice Dentistry
DEN-DEN-LIC-17427
MT

Other

Enumeration date
08/02/2019
Last updated
04/03/2025
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