Organization
HOMEGROWN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MOORE DDS (OWNER/DENTIST)
(406) 760-1077
Entity
Organization
Contact information
Practice address
2507 6TH AVE S, GREAT FALLS, MT 59405-3013
(406) 760-1077
(406) 235-1106
Mailing address
2507 6TH AVE S, GREAT FALLS, MT 59405-3013
(406) 760-1077
(406) 235-1106
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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