Powder River Dental Associates, PC

NPI #1295833879 in Gillette, Wyoming

Provider Information

NPI Number: 1295833879
Entity Type: Organization
Organization Name: Powder River Dental Associates, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 805 S 4J RD
City: Gillette
State: Wyoming
ZIP Code: 82716-4132
Phone: (307) 682-6655

Authorized Official

Name: DR. PATRICK JAMES LOVE, DDS
Title: PRESIDENT
Phone: (307) 682-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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