Wesley James Carnahan, LD
Denturist in Missoula, MT. Individual provider (NPI-1).
NPI number1366088098
StatusActive
Last updated in NPPESNov 18, 2019
Details
- NPI
- 1366088098
- Entity type
- Individual (NPI-1)
- Name
- Wesley James Carnahan
- Credential
- LD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2019
- Last updated
- Nov 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | 15312 | MT | Yes |
Practice location
2825 Stockyard Rd Ste E4Missoula, MT 59808-1510
Phone 406-317-1314
Mailing address
2825 Stockyard Rd Ste E4Missoula, MT 59808-1510
Phone 406-317-1314
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