Individual
DR. SCOTT ALLEN LULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
50 CROSSROADS DRIVE, SHELBY, MT 59474
(406) 470-4111
Mailing address
PO BOX 988, SHELBY, MT 59474-0988
(406) 470-4111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1991
MT
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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