| Bear River Dental | |
|
50 Park Rd Evanston WY 82930-2613 | |
| (307) 789-5608 | |
| (307) 789-4401 |
| Full Name | Bear River Dental |
|---|---|
| Speciality | Dentist |
| Location | 50 Park Rd, Evanston, Wyoming |
| Authorized Official Name and Position | Nathan R Lester (OWNER) |
| Authorized Official Contact | 3077895608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear River Dental 50 Park Rd Evanston WY 82930-2613 Ph: (307) 789-5608 | Bear River Dental 50 Park Rd Evanston WY 82930-2613 Ph: (307) 789-5608 |
| NPI Number | 1649575465 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649575465 | NPI | - | NPPES |
| 1023268299 | Medicaid | WY | |
| 1558432120 | Medicaid | WY | |
| 1689795114 | Medicaid | WY | |
| 1063492981 | Medicaid | WY |
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