NPI | 1053058651 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE LAMBERT Owner 307-287-0729 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-05-16 |