Individual
KENNETH EUGENE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
RR 1 BOX 664, BOX ELDER, MT 59521-9797
(406) 395-4486
(406) 395-5159
Mailing address
789 ANGLERS BEND WAY, MISSOULA, MT 59802-5580
(406) 395-4486
(406) 395-5159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1630
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630
LICENSE
MT
Enumeration date
03/18/2007
Last updated
08/12/2014
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