| NPI | 1467561167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEWIS WETZEL President 307-237-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WY 546) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |