| NPI | 1477792588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EUGENE HAUCK Dentist 307-856-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1094) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |