Organization
WY SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
WY SPECIALTY DENTAL SERVICES, LLC
Other names
Bennion Lambourne Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
WY SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CREDENTIALING AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
152 S 32ND ST W STE A, BILLINGS, MT 59102-6875
(406) 245-4414
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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