Michael G Shane DDS PC

NPI #1891871471 in Lander, Wyoming

Provider Information

NPI Number: 1891871471
Entity Type: Organization
Organization Name: Michael G Shane DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 27, 2006
Last Updated: Jul 18, 2007

Practice Location

Address: 350 GARFIELD ST
City: Lander
State: Wyoming
ZIP Code: 82520-3124
Phone: (307) 332-3181

Authorized Official

Name: MICHAEL GEORGE SHANE, DDS
Title: PRESIDENT
Phone: (307) 332-3181

Specialties & Taxonomy Codes

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

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