NPI 1609480011

Baokou Bungard-Thao

Practitioner Dental Assistant Great Falls, MT

Practice location

Address: 7300 N Perimeter Rd, Great Falls, MT 59402-6701
Phone: (406) 731-4393

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Montana →

Registry record

NPI: 1609480011
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2020
Record last updated: 2 Sep 2020

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.