| NPI | 1760315261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC HINCKLEY Orthodontist 307-679-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-24 |