DR. Clyde Wallace Stock, D.D.S.

NPI #1144568924 in Freedom, Wyoming

Provider Information

NPI Number
1144568924
Entity Type
Individual
Name
DR. Clyde Wallace Stock, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Oral & Maxillofacial Surgery
Credential
D.D.S.
Enumeration Date
Jan 29, 2013
Last Updated
Jan 29, 2013

Practice Location

Address
156 COUNTY ROAD 114
State
Wyoming
ZIP Code
83120
Phone
(307) 880-2760

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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