Individual
DR. STACEY LAURA GIVIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
710 N 1ST ST, HAMILTON, MT 59840-2134
(406) 375-1192
(406) 375-1193
Mailing address
710 N 1ST ST, HAMILTON, MT 59840-2134
(406) 375-1192
(406) 375-1193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2141
MT
1223G0001X
General Practice Dentistry
2141
MT
Other
Enumeration date
05/21/2007
Last updated
05/13/2019
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