Individual
MIA KLUESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 883-5541
Mailing address
PO BOX 541, LAKESIDE, MT 59922-0541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-33335
MT
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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