Individual
DR. JAMES LEO OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 KENSINGTON, MISSOULA, MT 59801-5624
(406) 543-7532
Mailing address
5115 PINTLAR MOUNTAIN CT, MISSOULA, MT 59803-2470
(406) 728-1925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1640
MT
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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