Aspen Hills Dental LLC

NPI #1417351602 in Afton, Wyoming

Provider Information

NPI Number: 1417351602
Entity Type: Organization
Organization Name: Aspen Hills Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 16, 2014
Last Updated: Apr 6, 2017

Practice Location

Address: 800 SOUTH WASHINGTON ST.
City: Afton
State: Wyoming
ZIP Code: 83110
Phone: (307) 885-4337

Authorized Official

Name: JEANELLE ELMOYNE LIVINGSTON, RN
Title: OPERATIONS LEADER
Phone: (307) 885-4337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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