Oil City Dental LLC

NPI #1629441290 in Casper, Wyoming

Provider Information

NPI Number: 1629441290
Entity Type: Organization
Organization Name: Oil City Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 4, 2015
Last Updated: Oct 20, 2017

Practice Location

Address: 1347 S BEVERLY ST
City: Casper
State: Wyoming
ZIP Code: 82609-4133
Phone: (307) 577-0577

Authorized Official

Name: KRISTIE JO MOONEY
Title: OFFICE MANAGER
Phone: (307) 577-0577

Specialties & Taxonomy Codes

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

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