Organization
RHOADES DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MARIE RHOADES DDS (DENTIST)
(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
(307) 746-4772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1264
WY
122300000X
Dentist
Primary
1301
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132764000
—
WY
Enumeration date
06/10/2014
Last updated
06/10/2014
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