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1972822930
ABC PEDIATRIC DENTISTRY, LLC
GILLETTE, WY
NPI
1972822930
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Entity Type
Organization
Authorized Contact
NATHAN D STEVENSON
Manager
801-842-6971
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
ABC PEDIATRIC DENTISTRY, LLC
610 S 4J CT # B
GILLETTE, WY 82716-4127
Phone number: 801-842-6971
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Mailing Address
ABC PEDIATRIC DENTISTRY, LLC
4019 W 12600 S STE 200
RIVERTON, UT 84096-7406
Phone number: 801-842-6971
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