Michael G Shane, DDS

NPI #1558561621 in Lander, Wyoming

Provider Information

NPI Number
1558561621
Entity Type
Individual
Name
Michael G Shane, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 18, 2007
Last Updated
Jul 18, 2007

Practice Location

Address
350 GARFIELD ST
City
Lander
State
Wyoming
ZIP Code
82520-3124
Phone
(307) 332-3181

Specialties & Taxonomy Codes

Specialty
Dentist

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