Most Relevant Information
Provider Data
| NPI Number: | 1003002791 |
| Provider Name: | ELIZABETH MARY ROLLE RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 1051 |
Most Important Dates
| Enumeration Date: | 09/17/2007 |
| Last Updated: | 09/17/2007 |
Provider Practice Location
323 W ALDER ST
MISSOULA
MT
598024123
Practice Location Phone/Fax
| Phone: | 4062584185 |
| Fax: |
Provider Mailing Location
714 WALKER DR
MISSOULA
MT
598042938
Provider Mailing Phone/Fax
| Phone: | 4063270292 |
| Fax: |