| NPI | 1154696409 |
|---|---|
| Other Name | WYOMING DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | DEVON HOLEMAN Dentist 307-587-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1290) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |