| NPI | 1457485732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY G. SMITH General Partner 307-733-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 756) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-03-28 |