| NPI | 1609298850 |
|---|---|
| Doing Business As | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN RUEHL Owner 307-332-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1235) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2021-02-17 |