| NPI | 1336440213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA G COOPER Office Manager 307-426-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1086) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |