Nation G Dorsey, DMD Valid NPI

Individual provider · General Practice Dentistry · Troy, MT

NPI

1154973196

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DEN-DEN-LIC-17389 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2019-07-10

Last updated

2019-07-10