Organization
WY SPECIALTY DENTAL SERVICES, LLC
Active
Other names
Bennion Lambourne Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE V DASCH (DIRECTOR OF OPERATIONS)
(504) 638-0303
Entity
Organization
Contact information
Practice address
152 S 32ND ST W, BILLINGS, MT 59102-6875
(406) 245-4414
Mailing address
152 S 32ND ST W, BILLINGS, MT 59102-6875
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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