Whiskey Mountain Dental

NPI #1710004569 in Dubois, Wyoming

Provider Information

NPI Number
1710004569
Entity Type
Organization
Organization Name
Whiskey Mountain Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 26, 2007
Last Updated
Aug 28, 2007

Practice Location

Address
108 NORTH 1ST STREET
City
Dubois
State
Wyoming
ZIP Code
82513
Phone
(307) 455-2029

Authorized Official

Name
MARIE DAY
Title
OFFICE MANAGER DENTAL ASSISTANT
Phone
(307) 455-2229

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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