Organization
MOLLY R GANNON D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY R GANNON DDS (OWNER)
(406) 363-1211
Entity
Organization
Contact information
Practice address
512 OLD CORVALLIS RD, HAMILTON, MT 59840-3131
(406) 363-1211
(406) 363-1212
Mailing address
512 OLD CORVALLIS RD, HAMILTON, MT 59840-3131
(406) 363-1211
(406) 363-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2066
MT
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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