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NPI Code Detail

MEDICARE: TONETTE LEE HOLLINGSWORTH RDH

MEDICARE:   TONETTE LEE HOLLINGSWORTH  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist939MT

General Provider Information

NPI Number : 1326291048
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONETTE LEE HOLLINGSWORTH RDH
Provider Business Mailing Address
First Line : 503 W GALENA ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1607
Country : US
Telephone Number : 406-723-8286
Fax Number :
Provider Business Practice Location Address
First Line : 503 W GALENA ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1607
Country : US
Telephone Number : 406-723-8286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2008
Last Update Date : 10/25/2008

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Directions to “ TONETTE LEE HOLLINGSWORTH RDH” Practice Location

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