ELK RIDGE DENTAL
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1497845127- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 200 EAST BROADWAY, JACKSON, WY, 83001
- Phone
- (307) 733-2555
- Fax
- (307) 733-2552
Specialties & Taxonomies
Dentist, General Practice
Primary License: WY #1083
All Addresses
MAILING
PO BOX 1190
JACKSON, WY, 830011190