Organization
HEADWATERS ORTHODONTICS, PLLC
Active
Organization
HEADWATERS ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN SNIDER DDS, MS (OWNER)
(719) 244-1548
Entity
Organization
Contact information
Practice address
80 WILLOW PEAK DR UNIT D, BOZEMAN, MT 59718-9827
(406) 920-4200
Mailing address
110 N HOFFMAN ST, BELGRADE, MT 59714-3607
(719) 244-1548
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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