Individual
BENJAMIN RICHARD EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1122 S CONWELL ST, CASPER, WY 82601-3965
(307) 234-6054
Mailing address
1122 S CONWELL ST, CASPER, WY 82601-3965
(307) 234-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1239
WY
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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