| NPI | 1912438524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAY KUNZLER Owner 307-786-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1116) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |