Most Relevant Information
Provider Data
| NPI Number: | 1003280223 |
| Provider Name: | DIEDRI DUROCHER RDH, BS |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | DEN-RDH-LIC-1311 |
Most Important Dates
| Enumeration Date: | 11/27/2015 |
| Last Updated: | 11/27/2015 |
Provider Practice Location
78 SUN RIVER RD
GREAT FALLS
MT
594046319
Practice Location Phone/Fax
| Phone: | 4067814473 |
| Fax: |
Provider Mailing Location
78 SUN RIVER RD
GREAT FALLS
MT
594046319
Provider Mailing Phone/Fax
| Phone: | 4067814473 |
| Fax: |