| NPI | 1588759179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALFRED BLUHER President 307-587-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WY 475) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |