Black Hills Dental P.c.

NPI 1073885224 - Dentist - 1223G0001X

NPI Details
NPI 1073885224
Enumeration Date 02/03/2012
Last Updated 02/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD RICHARD
Position OWNER
Phone (307) 746-4772
Fax
Practice Location
17 S SENECA AVE
NEWCASTLE WY, 82701-2816, US
Phone (307) 746-4772
Fax
Business Location
PO BOX 190
NEWCASTLE WY, 82701-0190, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 1264
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According to our database, Black Hills Dental P.c. NPI is 1073885224, taxonomy code is 1223G0001X and license number is 1264, license state is located at Wyoming. Black Hills Dental P.c. physically located at 17 S Seneca Ave, Newcastle WY, 82701-2816. NPI Number 1033115704 has the healthcare provider type.

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1073885224 NPI number is provided on an as is basis without warranty of any kind. 1073885224 is maintained by the National Plan & Provider Enumeration System. The contents of Black Hills Dental P.c. are for informational purposes only.