Individual
DR. CHARLES LARON SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, DDS
Contact information
Practice address
2900 CENTRAL AVE BLDG 1, BILLINGS, MT 59102-8626
(406) 656-6100
Mailing address
3427 LYNN AVE, BILLINGS, MT 59102-6681
(208) 521-5388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-17354
MT
Other
Enumeration date
06/05/2019
Last updated
06/12/2019
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