Organization
ASPEN DENTURE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DYLAN J. SEDLACEK L.D. (PRESIDENT)
(406) 252-1903
Entity
Organization
Contact information
Practice address
1903 CENTRAL AVE, BILLINGS, MT 59102-4900
(406) 252-1903
Mailing address
1903 CENTRAL AVE, BILLINGS, MT 59102-4900
(406) 252-1903
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
23
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158185
—
MT
Enumeration date
03/23/2007
Last updated
08/22/2020
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