Organization · Type 2 NPI
Blacks Fork Dental, PC
Dental Clinic/Center · Mount View, WY
NPI number
1508322603
Active
Practice location
650 Parkway Dr
Mount View, WY 82939
Mailing address
PO Box 356
Mountain View, WY 82939-0356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1508322603
Blacks Fork Dental, PC's National Provider Identifier is 1508322603, issued on Feb 13, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount View, WY. The record was last updated on Feb 13, 2019.