Organization
GREAT FALLS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L RENCHER D.D.S. (DENTIST)
(406) 449-0189
Entity
Organization
Contact information
Practice address
1717 4TH ST S, GREAT FALLS, MT 59405-4133
(406) 449-0189
(406) 449-7237
Mailing address
1717 4TH ST S, GREAT FALLS, MT 59405-4133
(406) 449-0189
(406) 449-7237
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2145
MT
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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