Kandarian, Ronald Brent

Kandarian, Ronald Brent is an individual health care provider with primary practice located at 1370 Airport Road , Kalispell MT 59901. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kandarian, Ronald Brent can be contacted via phone (406) 257-5283.

Contact Information

Primary practice address
1370 Airport Road Kalispell MT 59901
Fax: (406) 752-7605
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X 2 Montana

Profile Details

NPI number 1386746535
LBN Legal business name Kandarian, Ronald Brent
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386746535 NPPES
Montana MEDICAID 150033
Montana MEDICAID 7754474

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