| Boulder Valley Dental Llc | |
|
211 N Main St Boulder MT 59632-7761 | |
| (406) 225-4222 | |
| Not Available |
| Full Name | Boulder Valley Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 211 N Main St, Boulder, Montana |
| Authorized Official Name and Position | Lisa Huempfner (OWNER/DENTIST) |
| Authorized Official Contact | 2624975559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Valley Dental Llc Po Box 512 Boulder MT 59632-0512 Ph: () - | Boulder Valley Dental Llc 211 N Main St Boulder MT 59632-7761 Ph: (406) 225-4222 |
| NPI Number | 1548864358 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548864358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Elkhorn Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 North Main Street, Boulder, MT 59632 Phone: 406-225-4222 Fax: 406-225-4222 |