ABC PEDIATRIC DENTISTRY, LLC

GILLETTE, WY
NPI1972822930
Entity TypeOrganization
Authorized ContactNATHAN D STEVENSON
Manager
801-842-6971
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2010-05-28
Last Update Date2010-05-28
Business Address
ABC PEDIATRIC DENTISTRY, LLC
610 S 4J CT # B
GILLETTE, WY 82716-4127
Phone number: 801-842-6971
Mailing Address
ABC PEDIATRIC DENTISTRY, LLC
4019 W 12600 S STE 200
RIVERTON, UT 84096-7406
Phone number: 801-842-6971