Hyalite Family Dentistry
Dentist, General Practice in Bozeman, MT. Organization (NPI-2).
NPI number1124237656
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124237656
- Entity type
- Organization (NPI-2)
- Legal business name
- Hyalite Family Dentistry
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1960 | MT | Yes |
Practice location
1195 Stoneridge DrSuite #1
Bozeman, MT 59718-7048
Phone 406-586-4781 · Fax 406-586-5227
Mailing address
1195 Stoneridge DrSuite #1
Bozeman, MT 59718-7048
Phone 406-586-4781 · Fax 406-586-5227
Authorized official
Eric David Monson
President
4065864781
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