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Organization
OAK HAVEN DENTAL
Active
Organization
OAK HAVEN DENTAL
Active
Parent organization
OAK HAVEN DENTAL LANDER
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK HAVEN DENTAL LANDER
Authorized official
MRS. CHARLOTTE R JAY (FRONT OFFICE)
(307) 332-3181
Entity
Organization
Contact information
Practice address
8125 STATE HIGHWAY 789, LANDER, WY 82520-2926
(307) 332-3181
(307) 332-3484
Mailing address
8125 STATE HIGHWAY 789, LANDER, WY 82520-2926
(307) 332-3181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WY
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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