Individual
DR. MATTHEW JOSEPH MICHELOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
740 HELENA AVE, HELENA, MT 59601-3627
(406) 442-7980
Mailing address
740 HELENA AVE, HELENA, MT 59601-3627
(406) 442-7980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19394
MT
122300000X
Dentist
DEN-DEN-LIC-19394
MT
Other
Enumeration date
08/11/2020
Last updated
08/19/2020
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