NPI | 1801337902 |
---|---|
Doing Business As | WALGREN DENTAL ARTS PC |
Entity Type | Organization |
Authorized Contact | BRADLEY K WALGREN Dentist/Owner 307-745-8513 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WY 921) |
Enumeration Date | 2017-03-09 |
Last Update Date | 2017-03-09 |