Organization
MISA04, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WINTERHOLLER DDS (OWNER)
(406) 697-5756
Entity
Organization
Contact information
Practice address
3020 S RESERVE ST, MISSOULA, MT 59801-7652
(406) 697-5756
Mailing address
683 HENRY CHAPPLE ST, BILLINGS, MT 59106-1839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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