Individual
DR. ALAN JAY RAUCKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
619 SW HIGGINS AVE STE P, MISSOULA, MT 59803-1430
(406) 251-5709
Mailing address
619 SW HIGGINS AVE STE P, MISSOULA, MT 59803-1430
(406) 251-5709
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1978
MT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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