CARLA MCCOLLY

MISSOULA, MT
NPI1376948125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MT  DEN-RDH-LIC-5766)
Enumeration Date2014-10-22
Last Update Date2014-10-22
Business Address
-- CARLA MCCOLLY RDH
1600 ST ANDREWS WAY
MISSOULA, MT 59808-8681
Phone number: 208-699-4297
Mailing Address
-- CARLA MCCOLLY RDH
1600 ST ANDREWS WAY
MISSOULA, MT 59808-8681
Phone number: