NPI | 1033894357 |
---|---|
Doing Business As | SAGE HILLS DENTAL |
Entity Type | Organization |
Authorized Contact | TREVOR K GARDNER Owner 307-578-6552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |