BEAR RIVER DENTAL
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1649575465- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 50 PARK RD, EVANSTON, WY, 829302613
- Phone
- (307) 789-5608
- Fax
- (307) 789-4401
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: WY #1250
Dentist, Oral and Maxillofacial Surgery
License: WY #1257
Dentist, Orthodontics and Dentofacial Orthopedics
License: WY #1202
Dentist
Primary License: WY #1131