Organization
ELITE DENTAL, LLC
Active
Other names
Elite Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DAIGREPONT DDS (DENTIST)
(318) 359-0009
Entity
Organization
Contact information
Practice address
2376 MAIN ST STE 812, BILLINGS, MT 59105-4018
(406) 656-5200
Mailing address
705 MAIN ST, ROUNDUP, MT 59072-2423
(318) 359-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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