Organization
GREAT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M POLLINGTON RDH (REGISTERED DENTAL HYGIENIST)
(406) 799-3342
Entity
Organization
Contact information
Practice address
1049 RIVER RD, TOSTON, MT 59643-9755
(406) 799-3342
Mailing address
1049 RIVER RD, TOSTON, MT 59643-9755
(406) 799-3342
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1320
MT
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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