Organization
MOLARS ON THE MOVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM R DUNLAP RDH (DENTAL HYGIENE)
(406) 799-3876
Entity
Organization
Contact information
Practice address
2812 6TH AVE S, GREAT FALLS, MT 59405-3127
(406) 799-3876
Mailing address
2812 6TH AVE S, GREAT FALLS, MT 59405-3127
(406) 799-3876
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
1060
MT
261QD0000X
Dental Clinic/Center
Primary
1060
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7119787
—
MT
Enumeration date
04/24/2018
Last updated
04/24/2018
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