Heart Mountain Dental L.l.c.

NPI #1043694565 in Cody, Wyoming

Provider Information

NPI Number
1043694565
Entity Type
Organization
Organization Name
Heart Mountain Dental L.l.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 14, 2015
Last Updated
Jul 14, 2015

Practice Location

Address
1426 STAMPEDE AVE
City
Cody
State
Wyoming
ZIP Code
82414-4226
Phone
(307) 587-6028

Authorized Official

Name
JOSHUA GEORGE, D.D.S.
Title
MANAGER
Phone
(307) 587-6028

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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