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Miss JILL RENEE ERICKSON -- RDH

Individual Provider (NPI-1) Active

Dental Hygienist

Provider Information

NPI Number
1215233168
Provider Type
Individual Provider (NPI-1)
Credentials
RDH
Status
Active

Contact & Location

Address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY, 82514
Phone
(307) 332-7300

Specialties & Taxonomies

Dental Hygienist Primary License: AZ #H05665

All Addresses

MAILING

291 S 3RD ST

LANDER, WY, 825203114

(480) 220-5205

LOCATION

29 BLACK COAL DRIVE

FORT WASHAKIE, WY, 82514

(307) 332-7300