Evanston Dental,llc
NPI #1023863768 in Evanston, Wyoming
Provider Information
- NPI Number
- 1023863768
- Entity Type
- Organization
- Organization Name
- Evanston Dental,llc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 17, 2024
- Last Updated
- Apr 17, 2024
Practice Location
Authorized Official
- Name
- MR. MICAH DANIEL HIMMERICH, DDS
- Title
- OWNER/MEMBER
- Phone
- (307) 789-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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