| NPI | 1679202154 |
|---|---|
| Doing Business As | AVANTGARDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEGAN BRENNER Owner, Dentist 307-286-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |