Mountain Dental Dubois - Ad LLC

NPI #1477376929 in Dubois, Wyoming

Provider Information

NPI Number
1477376929
Entity Type
Organization
Organization Name
Mountain Dental Dubois - Ad LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 4, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
104 N. 1ST STREET
City
Dubois
State
Wyoming
ZIP Code
82513
Phone
(307) 455-2229

Authorized Official

Name
MRS. TAYLOR ASHCRAFT
Title
EXECUTIVE ADVISOR
Phone
(208) 716-5669

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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