Individual
AMBER REAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 LAKNAR LN, DILLON, MT 59725-8493
(406) 672-9232
Mailing address
1459 LAKNAR LN, DILLON, MT 59725-8493
(406) 672-9232
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1339
MT
Other
Enumeration date
04/10/2017
Last updated
02/12/2018
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