| NPI | 1437369279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE BIRCH Pres. 307-875-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 607) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |