| NPI | 1710407341 |
|---|---|
| Doing Business As | EAST PERSHING DENTAL |
| Entity Type | Organization |
| Authorized Contact | ZACHARY DAVID CHRISTOPHERSON President 307-851-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WY 1473) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-07-21 |