Star Valley Oral Surgery
NPI #1821610957 in Thayne, Wyoming
Provider Information
- NPI Number
- 1821610957
- Entity Type
- Organization
- Organization Name
- Star Valley Oral Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 12, 2020
- Last Updated
- May 12, 2020
Practice Location
Authorized Official
- Name
- DR. MARK WESTON JOHNSON, DMD
- Title
- PRESIDENT
- Phone
- (307) 883-4222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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