Individual
MYRIAM NANTES GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
116 MAIN ST, WOLF POINT, MT 59201-1530
(406) 653-2890
(406) 653-2891
Mailing address
116 MAIN ST, WOLF POINT, MT 59201-1530
(406) 653-2890
(406) 653-2891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2182
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113526
—
MT
01
—
21824
BLUE CROSS / BLUE SHIELD
MT
01
—
5512879
MONTANA CHIPS PROGRAM
MT
Enumeration date
07/08/2006
Last updated
07/08/2007
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