Organization · Type 2 NPI
Mountain Dental PC
Dental Clinic/Center · Lander, WY
NPI number
1366596033
Active
Practice location
345 Garfield St
Lander, WY 82520-3123
Fax (307) 332-5297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 975 (WY) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1366596033
Mountain Dental PC's National Provider Identifier is 1366596033, issued on Jan 22, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lander, WY. The record was last updated on Jun 25, 2008.