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Individual

DR. ERIC DAVID MONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1195 STONERIDGE DR, SUITE #1, BOZEMAN, MT 59718-7048
(406) 586-4781
(406) 586-5227
Mailing address
315 N 23RD AVE, BOZEMAN, MT 59718-3163
(406) 585-8489

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1960
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000111176
MT
05
0005511090
MT
Enumeration date
05/22/2007
Last updated
07/08/2007
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