Abc Pediatric Dentistry, LLC

NPI #1972822930 in Gillette, Wyoming

Provider Information

NPI Number
1972822930
Entity Type
Organization
Organization Name
Abc Pediatric Dentistry, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 28, 2010
Last Updated
May 28, 2010

Practice Location

Address
610 S 4J CT # B
State
Wyoming
ZIP Code
82716-4127
Phone
(801) 842-6971

Authorized Official

Name
DR. NATHAN D STEVENSON, DDS
Title
MANAGER
Phone
(801) 842-6971

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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