Gary W Vollan is a Denturist based in Basin, WY. Gary W Vollan practices in Basin, WY. The NPI Number for Gary W Vollan is 1790844041 and holds a License No. DT-DO-184236 (Wyoming).
The current practice location address for Gary W Vollan is 502 South 4Th, Basin, WY and can be reached out via phone at 307-568-2047.
Location: 502 South 4Th, Basin, WY, 82410-0332
Provider Profile Details
NPI Number
1790844041
Provider Name
Gary W Vollan
Credential
Provider Entity Type
Individual
Gender
Male
Address
502 South 4Th, Basin, WY, 82410-0332
Phone Number
307-568-2047
Fax Number
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
Provider Business Practice Location Address Details
Address
502 South 4Th
City
State
Zip
82410-0332
Phone Number
307-568-2047
Fax Number
Provider Business Mailing Address Details
Address
502 South 4Th
City
State
Zip
82410-0332
Phone Number
307-568-2047
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DT-DO-184236 (Oregon)
Definition
Definition to come.
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