| Abc Pediatric Dentistry, Llc | |
|
610 S 4j Ct # B Gillette WY 82716-4127 | |
| (801) 842-6971 | |
| Not Available |
| Full Name | Abc Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 610 S 4j Ct # B, Gillette, Wyoming |
| Authorized Official Name and Position | Nathan D Stevenson (MANAGER) |
| Authorized Official Contact | 8018426971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Pediatric Dentistry, Llc 4019 W 12600 S Ste 200 Riverton UT 84096-7406 Ph: (801) 842-6971 | Abc Pediatric Dentistry, Llc 610 S 4j Ct # B Gillette WY 82716-4127 Ph: (801) 842-6971 |
| NPI Number | 1972822930 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972822930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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