| NPI | 1316153836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WAYNE HILL President 307-527-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1157) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |