Search › Montana › 1223D0004X
Terry Klise, D.D.S
NPI 1912921594 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2603 Deer Canyon Ct
Missoula, MT 59808 - Phone
- (406) 529-2612
- Fax
- (406) 721-1126
Registry record
- Primary taxonomy
- 1223D0004X
1223D0004X
- Also registered as
- 1223G0001X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana