| NPI | 1366502726 |
|---|---|
| Former Legal Business Name | BIGHORN DENTAL, P.C. |
| Entity Type | Organization |
| Authorized Contact | BRIAN JEROME COTANT Owner Dentist 307-684-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WY 1129) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WY 807) |
| 124Q00000X Dental Hygienist (Licence: WY 841) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-03-25 |