| 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 |