NPI | 1912027269 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER DEAN BATCHELDER President 307-235-9198 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 729) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |