Organization · Type 2 NPI

Alpine Denitstry

Dental Clinic/Center · Jackson, WY

NPI number 1619503349 Active

Practice location

945 W Broadway Ave Apt 201
Jackson, WY 83001-8217

Fax (307) 733-2922

Mailing address

PO Box 11779
Jackson, WY 83002-1779

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1619503349

Alpine Denitstry's National Provider Identifier is 1619503349, issued on Mar 13, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jackson, WY. The record was last updated on Mar 13, 2020.