| NPI | 1255066106 |
|---|---|
| Doing Business As | DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | RORY D ASHDOWN Co Owner 307-840-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |