| Bozeman Trail Orthodontics Pc | |
|
932 South David St Casper WY 82601 | |
| (307) 237-8419 | |
| (307) 234-4912 |
| Full Name | Bozeman Trail Orthodontics Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 932 South David St, Casper, Wyoming |
| Authorized Official Name and Position | James Lewis Wetzel (PRESIDENT) |
| Authorized Official Contact | 3072378419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Trail Orthodontics Pc 932 South David St Casper WY 82601 Ph: (307) 237-8419 | Bozeman Trail Orthodontics Pc 932 South David St Casper WY 82601 Ph: (307) 237-8419 |
| NPI Number | 1467561167 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467561167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 546 (Wyoming) | Primary |
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