Individual
HEATHER R RONNGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1050 N MERIDIAN RD, KALISPELL, MT 59901-3542
(406) 755-4127
Mailing address
1050 N MERIDIAN RD, KALISPELL, MT 59901-3542
(406) 755-4127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE60061891
WA
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-11505
MT
Other
Enumeration date
10/03/2007
Last updated
07/09/2016
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