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Organization

WYOMING DENTAL IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT G BILLS DMD, MS (OWNER)
(307) 332-9136
Entity
Organization

Contact information

Practice address
799 S 2ND ST # B, LANDER, WY 82520-3703
(307) 332-9136
(307) 335-8458
Mailing address
PO BOX 1532, LANDER, WY 82520-1532
(307) 332-9136
(307) 335-8458

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
740
WY

Other

Enumeration date
07/16/2009
Last updated
07/16/2009
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