Organization
POWDER RIVER DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES LOVE DDS (PRESIDENT)
(307) 682-6655
Entity
Organization
Contact information
Practice address
805 S 4J RD, GILLETTE, WY 82716-4132
(307) 682-6655
(307) 686-1816
Mailing address
805 S 4J RD, GILLETTE, WY 82716-4132
(307) 682-6655
(307) 686-1816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
198000183327
WY
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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