NPI | 1922470293 |
---|---|
Doing Business As | GLENROCK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | AARON D LARSEN Owner 307-436-8770 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1278) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |