NPI: 1710407341 · CHEYENNE, WY 82001 · Dental Clinic/Center · NPI assigned 06/24/2017
| Authorized Official | CHRISTOPHERSON, ZACHARY (PRESIDENT/DENTIST) |
| Parent Organization | ZC DENTISTRY LLC |
| NPI Enumeration Date | 06/24/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $0.00 |
| 2021 | 12 | $374.40 |