Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 7876 | MT |
NPI | 1013278126 |
---|---|
Provider Name | Dr. Christina M Clement |
First Address | Billings, MT 59102-0700 |
Second Address | Billings, MT 59102-0700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 20/08/2014 |