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MENG DENTISTRY, PLLC

Prosthodontics

Missoula, Montana

Provider NPI: 1548507171

Organization Information:
Organization Name:  MENG DENTISTRY, PLLC
Organization is not Subpart
Authorized Official:  JOSEPH C MENG  MEMBER  406-5435647

Practice Location:
2315 MCDONALD AVE STE 310  MISSOULA, MT 59801 US
Tel: 406-543-5647  Fax: 406-728-2031

Business Mailing Address:
2315 MCDONALD AVE STE 310  MISSOULA, MT 59801 US
Tel: 406-543-5647  Fax: 406-728-2031

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0700XDental Providers
Dentist
Prosthodontics
MT2346

Other Provider Identifiers:

IssuerNumberStateType
13-8892MT05
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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