Whiskey Mountain Dental | |
108 North 1st Street Dubois WY 82513 | |
(307) 455-2029 | |
Not Available |
Full Name | Whiskey Mountain Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 108 North 1st Street, Dubois, Wyoming |
Authorized Official Name and Position | Marie Day (OFFICE MANAGER DENTAL ASSISTANT) |
Authorized Official Contact | 3074552229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Whiskey Mountain Dental Po Box 783 Dubois WY 82513-0783 Ph: (307) 455-2229 | Whiskey Mountain Dental 108 North 1st Street Dubois WY 82513 Ph: (307) 455-2029 |
NPI Number | 1710004569 |
---|---|
Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710004569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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