| NPI | 1285982025 |
|---|---|
| Former Legal Business Name | MCCOLLEY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROLLIN MCCOLLEY Owner/Dentist 307-674-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2014-12-31 |