Teton Oral and Maxillofacial Surgery
NPI #1740776202 in Jackson, Wyoming
Provider Information
- NPI Number
- 1740776202
- Entity Type
- Organization
- Organization Name
- Teton Oral and Maxillofacial Surgery
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Jul 9, 2018
- Last Updated
- Jul 26, 2018
Practice Location
Authorized Official
- Name
- BRIDGET ANNE MULLEN, RN
- Title
- OFFICE MANAGER
- Phone
- (307) 690-1513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Oral & Maxillofacial Surgery |
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