| NPI | 1457877987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RODNEY ROCHELLE Dentist/Owner 307-235-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1319) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |