Individual
ANDREW KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-4633
Mailing address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-4633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12939519-9921
UT
122300000X
Dentist
Primary
DEN-DEN-LIC-27530
MT
Other
Enumeration date
07/29/2022
Last updated
05/05/2025
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