Organization
HARRELL DENTAL
Active
Other names
WESTGATE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN J HARRELL DDS, MBA (DENTIST)
(307) 635-1197
Entity
Organization
Contact information
Practice address
121 W CARLSON ST, CHEYENNE, WY 82009-4044
(307) 635-1197
Mailing address
121 W CARLSON ST, CHEYENNE, WY 82009-4044
(307) 635-1197
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1173
WY
261QD0000X
Dental Clinic/Center
1355
WY
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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