Bozeman Trail Orthodontics PC

NPI #1467561167 in Casper, Wyoming

Provider Information

NPI Number
1467561167
Entity Type
Organization
Organization Name
Bozeman Trail Orthodontics PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
932 SOUTH DAVID ST
City
Casper
State
Wyoming
ZIP Code
82601
Phone
(307) 237-8419

Authorized Official

Name
DR. JAMES LEWIS WETZEL JR., DDS
Title
PRESIDENT
Phone
(307) 237-8419

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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