| NPI | 1902147275 |
|---|---|
| Former Legal Business Name | HAL QUIST, DDS |
| Entity Type | Organization |
| Authorized Contact | PAT QUIST Office Manager 307-672-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |