MISA04, LLC

MISSOULA, MT
NPI1588366611
Entity TypeOrganization
Authorized ContactWILLIAM WINTERHOLLER
Owner
406-697-5756
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-03-21
Last Update Date2023-03-21
Business Address
MISA04, LLC
3020 S RESERVE ST
MISSOULA, MT 59801-7652
Phone number: 406-697-5756
Mailing Address
MISA04, LLC
683 HENRY CHAPPLE ST
BILLINGS, MT 59106-1839
Phone number: