# MOUNTAIN WEST DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346606654
- **Authorized official:** DR. AARON ERICKSON DDS (DENTIST)
- **Authorized official phone:** (307) 685-1111

## Contact information

- **Practice address:** 207 RICHARDS AVE, GILLETTE, WY 82716-3630
- **Practice address phone:** (307) 685-1111
- **Mailing address:** 207 RICHARDS AVE, GILLETTE, WY 82716-3630
- **Mailing address phone:** (307) 685-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1373 | WY | Yes |

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 01/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1982003455 | — | WY |