Individual
GREGORY K MORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2049 BROADWATER AVE STE 2, BILLINGS, MT 59102-4871
(406) 656-9911
(406) 969-5190
Mailing address
2049 BROADWATER AVE STE 2, BILLINGS, MT 59102-4871
(406) 656-9911
(406) 969-5190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2236
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2236
MT STATE DENTAL LIC
MT
05
—
7162948
—
MT
Enumeration date
04/11/2007
Last updated
02/15/2018
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