| NPI | 1164147666 |
|---|---|
| Other Name | CASPER MOUNTAIN DENTAL DBA GLENROCK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | AARON LARSEN Owner 307-259-0058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |