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Individual

DR. KENNETH COOPER MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., FAGD

Contact information

Practice address
516 FULLER AVE, STE 2, HELENA, MT 59601
(406) 442-0500
(406) 442-2229
Mailing address
516 FULLER AVE, STE 2, HELENA, MT 59601
(406) 442-0500
(406) 442-2229

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2405
MT
1223G0001X
General Practice Dentistry
D4228
ID

Other

Enumeration date
06/30/2009
Last updated
03/31/2020
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