12 ORTHODONTICS

NPI: 1053273011 · Organization · Active

Primary Specialty

Orthodontics and Dentofacial Orthopedics Dentistry
Dentist — Orthodontics and Dentofacial Orthopedics

Practice Location

34 BRUYER WAY
KALISPELL, MT 59901-6305 Map ↗
Phone: 406-752-8686

All Specialties & Licenses

  • Orthodontics and Dentofacial Orthopedics Dentistry Primary — Orthodontics and Dentofacial Orthopedics
  • General Practice Dentistry — General Practice

NPI Registration

Enumerated: 2025-11-28

Last CMS Update: 2026-01-02