Organization
BOULDER VALLEY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HUEMPFNER DMD (OWNER/DENTIST)
(262) 497-5559
Entity
Organization
Contact information
Practice address
211 N MAIN ST, BOULDER, MT 59632-7761
(406) 225-4222
Mailing address
PO BOX 512, BOULDER, MT 59632-0512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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