Organization
BIGHORN DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT LEE D.D.S. (DENTIST)
(307) 686-1567
Entity
Organization
Contact information
Practice address
4403 RUNNING W. DRIVE, GILLETTE, WY 82718
(307) 686-1567
(307) 686-2805
Mailing address
4403 RUNNING W. DRIVE, GILLETTE, WY 82718
(307) 686-1567
(307) 686-2805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1175
WY
122300000X
Dentist
1345
WY
Other
Enumeration date
08/01/2013
Last updated
04/12/2019
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