Gary W Vollan

NPI #1790844041 in Basin, Wyoming

Provider Information

NPI Number
1790844041
Entity Type
Individual
Name
Gary W Vollan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Denturist
Enumeration Date
Dec 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
502 SOUTH 4TH
City
Basin
State
Wyoming
ZIP Code
82410-0332
Phone
(307) 568-2047

Specialties & Taxonomy Codes

Specialty
Denturist

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