Individual
ELLIE BICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, LAP
Contact information
Practice address
50 EGAN RD, KALISPELL, MT 59901-7877
(406) 208-2480
Mailing address
50 EGAN RD, KALISPELL, MT 59901-7877
(406) 208-2480
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1142
MT
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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