Oak Haven Dental

NPI #1033699533 in Lander, Wyoming

Provider Information

NPI Number: 1033699533
Entity Type: Organization
Organization Name: Oak Haven Dental
Subpart: Yes (part of a larger organization)
Parent Organization: OAK HAVEN DENTAL LANDER
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2018
Last Updated: Aug 15, 2018

Practice Location

Address: 8125 STATE HIGHWAY 789
City: Lander
State: Wyoming
ZIP Code: 82520-2926
Phone: (307) 332-3181

Authorized Official

Name: MRS. CHARLOTTE R JAY
Title: FRONT OFFICE
Phone: (307) 332-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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