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Organization
MOUNTAIN WEST DENTAL
Active
Organization
MOUNTAIN WEST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON ERICKSON DDS (DENTIST)
(307) 685-1111
Entity
Organization
Contact information
Practice address
207 RICHARDS AVE, GILLETTE, WY 82716-3630
(307) 685-1111
Mailing address
207 RICHARDS AVE, GILLETTE, WY 82716-3630
(307) 685-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1373
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982003455
—
WY
Enumeration date
01/04/2016
Last updated
01/04/2016
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