Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DEN-RDH-LIC-687 | MT |
NPI | 1073943312 |
---|---|
Provider Name | Tamara Helmer |
First Address | Billings, MT 59101-9473 |
Second Address | Billings, MT 59101-9473 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2013 |
Last Update Date | 23/11/2013 |