| NPI | 1295833879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES LOVE President 307-682-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 198000183327) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |