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

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X2386 (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.