Individual
RICHARD HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 W BABCOCK ST, BOZEMAN, MT 59715-4453
(406) 587-5700
Mailing address
PO BOX 10612, BOZEMAN, MT 59719-0612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2451
MT
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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