Individual
ANNETTE DUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
SAPPHIRE DENTAL GROUP, PC, 2901 BROOKS ST., MISSOULA, MT 59801
(406) 541-2886
Mailing address
SAPPHIRE DENTAL GROUP, PC, 2901 BROOKS ST., MISSOULA, MT 59801
(406) 541-2886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-1333
—
MT
Enumeration date
05/24/2007
Last updated
11/26/2022
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