institution
Alpine Denitstry
Dental Clinic/Center in Jackson, Wyoming
NPI 1619503349

Alpine Denitstry is a Dental Clinic/Center based in Jackson, WY and is specialized in Dental. Alpine Denitstry practices in Jackson, WY. The NPI Number for Alpine Denitstry is 1619503349 and holds a License No. (Wyoming).

The current practice location address for Alpine Denitstry is 945 W Broadway Ave Apt 201, Jackson, WY and can be reached out via phone at 307-734-5200 and via fax at 307-733-2922. You can also correspond with Alpine Denitstry through the mailing address at PO BOX 11779, JACKSON, WY - 83002-1779 (mailing address contact number: 307-734-5200).

Location: 945 W Broadway Ave Apt 201, Jackson, WY, 83002-1779
institution
Provider Profile Details
NPI Number
1619503349
Provider Name
Alpine Denitstry
Credential
Provider Entity Type
Organization
Address
945 W Broadway Ave Apt 201, Jackson, WY, 83002-1779
Phone Number
307-734-5200
Fax Number
307-733-2922
Provider Enumeration Date
03/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669683025 01 WY NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
945 W Broadway Ave Apt 201
City
State
Zip
83001-8217
Phone Number
307-734-5200
Fax Number
307-733-2922
person
Provider Business Mailing Address Details
Address
945 W Broadway Ave Apt 201
City
State
Zip
83001-8217
Phone Number
307-734-5200
Fax Number
307-733-2922
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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