Organization
LOLO DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ROSE HILLBERRY (VICE PRESIDENT LOLODENTAL CLINIC PC)
(406) 273-0490
Entity
Organization
Contact information
Practice address
108 TYLER WAY, LOLO, MT 59847
(406) 273-0490
(406) 273-7969
Mailing address
PO BOX 725, LOLO, MT 59847
(406) 273-0490
(406) 273-7969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MT
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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