Eagle Summit Dental Clinic, INC
NPI #1457631558 in Buffalo, Wyoming
Provider Information
- NPI Number
- 1457631558
- Entity Type
- Organization
- Organization Name
- Eagle Summit Dental Clinic, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 19, 2011
- Last Updated
- Aug 19, 2011
Practice Location
Authorized Official
- Name
- MONICA BURRIDGE
- Title
- OFFICE MANAGER
- Phone
- (307) 684-0119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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