Organization
3 RIVERS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELLA MARIE WINTERS (PRACTICE MANAGER)
(406) 393-3773
Entity
Organization
Contact information
Practice address
2680 WASHBURN ST., MISSOULA, MT 59801-7831
(406) 393-3773
(406) 926-2671
Mailing address
2680 WASHBURN ST., MISSOULA, MT 59801-7831
(406) 393-3773
(406) 926-2671
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
02/08/2021
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