NPI 1417133026

Kristen Heather Tinervin

Practitioner Denturist Missoula, MT

Practice location

Address: 2100 Stephens Ave Suite 104, Missoula, MT 59801-6659
Phone: (406) 829-8900

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 26 (MT)

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Registry record

NPI: 1417133026
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2008
Record last updated: 14 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.