NPI | 1598042814 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES F HOAG Dr. 307-265-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WY 624) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2011-11-23 |