Individual
RUSTY KEMPER EDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6900
Mailing address
320 E 2ND ST, LIBBY, MT 59923-2010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24972
MT
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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