Organization
BLACK HILLS DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RATTS (OWNER)
(307) 746-4772
Entity
Organization
Contact information
Practice address
17 S SENECA AVE, NEWCASTLE, WY 82701-2816
(307) 746-4772
Mailing address
PO BOX 190, NEWCASTLE, WY 82701-0190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1264
WY
1223G0001X
General Practice Dentistry
Primary
724
WY
Other
Enumeration date
02/03/2012
Last updated
02/09/2012
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