Bingham Endodontics, Pllc

NPI #1972863207 in Jackson, Wyoming

Provider Information

NPI Number: 1972863207
Entity Type: Organization
Organization Name: Bingham Endodontics, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 610 W. BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (208) 227-0382

Authorized Official

Name: LYNDA DEL RIO
Title: OFFICE MANAGER
Phone: (208) 747-2651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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