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Oral Surgery, Dental Specialists

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Oral and Maxillofacial Surgery

Great Falls, Montana

Provider NPI: 1962671370

Organization Information:
Organization is not Subpart
Authorized Official:  RONALD E NEAL  OWNER  406-7274322

Practice Location:
2714 15TH AVE S  GREAT FALLS, MT 59405 US
Tel: 406-727-4322  Fax: 406-771-1516

Business Mailing Address:
2714 15TH AVE S  GREAT FALLS, MT 59405 US
Tel: 406-727-4322  Fax: 406-771-1516

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Oral and Maxillofacial Surgery

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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