NPI | 1144769597 |
---|---|
Doing Business As | LANDER FAMILY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | SUSAN J BAKER Dentist 307-332-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WY 1427) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2017-08-28 |