Provider First Line Business Practice Location Address:
CHIPPEWA-CREE HEALTH CENTER AGENCY STREET
Provider Second Line Business Practice Location Address:
DENTAL CLINIC DIVISION
Provider Business Practice Location Address City Name:
BOX ELDER
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59521-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-395-4406
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007