Casper Mountain Dental DBA Advanced Family Dental

NPI #1164147666 in Casper, Wyoming

Provider Information

NPI Number: 1164147666
Entity Type: Organization
Organization Name: Casper Mountain Dental DBA Advanced Family Dental
Subpart: Yes (part of a larger organization)
Parent Organization: CASPER MOUNTAIN DENTAL
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 6, 2022
Last Updated: Oct 6, 2022

Practice Location

Address: 1431 S. BEVERLY STREET
City: Casper
State: Wyoming
ZIP Code: 82609
Phone: (307) 265-5334

Authorized Official

Name: AARON LARSEN, DDS
Title: OWNER
Phone: (307) 259-0058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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