Individual
DR. EVGENII PROSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 N 11TH AVE STE 4, BOZEMAN, MT 59715-3264
(406) 587-5435
Mailing address
108 N 11TH AVE STE 4, BOZEMAN, MT 59715-3264
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN-DEN-LIC-28499
MT
Other
Enumeration date
06/22/2022
Last updated
09/12/2024
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