Individual
MR. TODD MICHAEL MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
140 BROWNS RD, KALISPELL, MT 59901-7158
(406) 471-0066
Mailing address
140 BROWNS RD, KALISPELL, MT 59901-7158
(406) 471-0066
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1078
MT
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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