MISA04, LLC

Dentist - General Practice

Active Organization
NPI: 1588366611

Practice Address

3020 S RESERVE ST
Missoula, MT 59801

Phone: (406) 697-5756

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes -

Frequently Asked Questions

NPI 1588366611 is the National Provider Identifier for MISA04, LLC, a Dentist - General Practice provider located in Missoula, MT. This NPI was enumerated on March 21, 2023.

Quick Facts

NPI
1588366611
Type
Organization
Enumerated
Mar 21, 2023
Last Updated
Mar 21, 2023

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