| NPI | 1477094852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY P HAMMOND Dentist/Owner 307-857-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1435) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |