Blue Tooth Dental Inc.

NPI #1063664795 in Evanston, Wyoming

Provider Information

NPI Number
1063664795
Entity Type
Organization
Organization Name
Blue Tooth Dental Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 13, 2008
Last Updated
Oct 13, 2008

Practice Location

Address
545 CHEYENNE DR
Address 2
SUITE C
State
Wyoming
ZIP Code
82930-5323
Phone
(307) 789-9034

Authorized Official

Name
MRS. SHERRY HANCOCK
Title
OFFICE MANAGER
Phone
(307) 789-9034

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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