Ilene Choal, D.D.S.

NPI #1780035378 in Gillette, Wyoming

Provider Information

NPI Number: 1780035378
Entity Type: Individual
Name: Ilene Choal, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 25, 2016
Last Updated: Jun 25, 2016

Practice Location

Address: 417 W FLYING CIRCLE DR
City: Gillette
State: Wyoming
ZIP Code: 82716-4701
Phone: (307) 682-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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