Dental Care of Jackson Hole, LLC

NPI #1417074261 in Alpine, Wyoming

Provider Information

NPI Number
1417074261
Entity Type
Organization
Organization Name
Dental Care of Jackson Hole, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 26, 2007
Last Updated
Apr 29, 2010

Practice Location

Address
363 DEER LANE
City
Alpine
State
Wyoming
ZIP Code
83128
Phone
(307) 654-2273

Authorized Official

Name
ERIN RATHBAND-SMITH
Title
OFFICE MANAGER
Phone
(307) 654-2273

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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