| NPI | 1205963600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY SALISBURY MENEFEE Owner Dentist 307-857-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 981) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |