Individual
MISS MACY RAY HYVONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
203 MAIN ST, POLSON, MT 59860-2119
(406) 883-0496
Mailing address
203 MAIN ST, POLSON, MT 59860-2119
(406) 883-0496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2321
MT
1223G0001X
General Practice Dentistry
Primary
2321
MT
Other
Enumeration date
08/12/2008
Last updated
06/13/2025
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