NPI | 1902438641 |
---|---|
Doing Business As | DRY CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | AARON JOHN LUDDINGTON Owner 307-634-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-02-11 |
Last Update Date | 2020-02-11 |