Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 2346 | MT |
NPI | 1104155423 |
---|---|
Provider Name | Dr. Joseph Charles Meng |
First Address | Missoula, MT 59801-7347 |
Second Address | Missoula, MT 59801-7347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 29/03/2021 |