Organization · Type 2 NPI
Elkhorn Family Dental, LLC
Dental Clinic/Center · Boulder, MT
NPI number
1740546100
Active
Practice location
211 North Main Street
Boulder, MT 59632-0512
Fax (406) 225-4222
Mailing address
PO Box 512, 211 North Main Street
Boulder, MT 59632-0512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2386 (MT) |
Dental Clinic/Center: Definition to come...
About NPI 1740546100
Elkhorn Family Dental, LLC's National Provider Identifier is 1740546100, issued on Apr 10, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boulder, MT. The record was last updated on Apr 10, 2012.