Organization
GLACIER VALLEY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MOSELEY (PRESIDENT)
(406) 250-9899
Entity
Organization
Contact information
Practice address
80 FOUR MILE DR STE 15, KALISPELL, MT 59901-2665
(406) 257-3647
Mailing address
80 FOUR MILE DR STE 15, KALISPELL, MT 59901-2665
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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