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General NPI Number Information
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NPI Number | 1962205963
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Entity Type | Organization
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Legal Business Name | MONTROSE DENTAL PARTNERS INC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 629 E STAR CT
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City | MONTROSE
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State | CO
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Zip | 81401-6701
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Country | US
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Telephone | 602-377-2784
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Fax |
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Provider Business Mailing Address
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Address Line | 1458 CHARDONNAY DR
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City | RICHLAND
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State | WA
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Zip | 99352-7340
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Country | US
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Telephone | 602-377-2784
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES KLINE
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Credential | DMD
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Telephone | 602-377-2784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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