Star Valley Dental 1 Llc | |
725 N Washington St Afton WY 83110-1390 | |
(307) 885-4355 | |
Not Available |
Full Name | Star Valley Dental 1 Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 725 N Washington St, Afton, Wyoming |
Authorized Official Name and Position | David Hokanson (OWNER) |
Authorized Official Contact | 3072480741 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Star Valley Dental 1 Llc Po Box 1390 Afton WY 83110-1390 Ph: (307) 885-4355 | Star Valley Dental 1 Llc 725 N Washington St Afton WY 83110-1390 Ph: (307) 885-4355 |
NPI Number | 1497394068 |
---|---|
Provider Enumeration Date | 12/31/2019 |
Last Update Date | 12/31/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497394068 | NPI | - | NPPES |
137718300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 1 days ago
James G. Livingston, Dds.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Street, Afton, WY 83110 Phone: 307-885-4337 | |
Livingston Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 South Washington St., Afton, WY 83110 Phone: 307-885-4337 Fax: 307-885-4334 | |
Star Valley Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 No Washington Street, Afton, WY 83110 Phone: 307-885-4355 |