Star Valley Dental 1 LLC

NPI #1497394068 in Afton, Wyoming

Provider Information

NPI Number
1497394068
Entity Type
Organization
Organization Name
Star Valley Dental 1 LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 31, 2019
Last Updated
Dec 31, 2019

Practice Location

Address
725 N WASHINGTON ST
City
Afton
State
Wyoming
ZIP Code
83110-1390
Phone
(307) 885-4355

Authorized Official

Name
DAVID HOKANSON
Title
OWNER
Phone
(307) 248-0741

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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