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Organization
POWDER RIVER DENTAL ASSOCIATES, LLC
Active
Organization
POWDER RIVER DENTAL ASSOCIATES, LLC
Active
Other names
PRDA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY SCHAMBER DDS (OWNER)
(307) 682-6771
Entity
Organization
Contact information
Practice address
1211 S DOUGLAS HWY STE 200, GILLETTE, WY 82716-4968
(307) 682-6771
(307) 682-9895
Mailing address
1211 S DOUGLAS HWY STE 200, GILLETTE, WY 82716-4968
(307) 682-6771
(307) 682-9895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
198000183327
WY
Other
Enumeration date
09/20/2006
Last updated
08/11/2026
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