NPI 1487905931

Carl Justin Brisendine, LD

Practitioner Denturist Kalispell, MT

Practice location

Address: 6 Sunset Plz Suite C, Kalispell, MT 59901-3608
Phone: (406) 752-3733
Fax: (406) 752-3734

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 4206 (MT)

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Registry record

NPI: 1487905931
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2012
Record last updated: 10 Jun 2013

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.