CHRISTIAN RANDALL KENWORTHY

MISSOULA, MT
NPI1861557308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: MT  1976)
Enumeration Date2006-12-26
Last Update Date2007-07-08
Business Address
CHRISTIAN RANDALL KENWORTHY D.D.S, M.S.
690 SW HIGGINS AVE STE F
MISSOULA, MT 59803-1433
Phone number: 406-721-2796
Mailing Address
CHRISTIAN RANDALL KENWORTHY D.D.S, M.S.
690 SW HIGGINS AVE STE F
MISSOULA, MT 59803-1433
Phone number: 406-721-2796