Individual
LEVI CODY MALTBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3920 3RD AVE S, GREAT FALLS, MT 59405-3614
(406) 452-5361
(406) 452-4045
Mailing address
3920 3RD AVE S, GREAT FALLS, MT 59405-3614
(406) 452-5361
(406) 452-4045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2334
MT
1223G0001X
General Practice Dentistry
2334
MT
Other
Enumeration date
10/24/2008
Last updated
03/23/2019
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