# ELK RIDGE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ElkRidge Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497845127
- **Authorized official:** AARON GALBRAITH D.M.D (OWNER)
- **Authorized official phone:** (307) 733-2555

## Contact information

- **Practice address:** 200 EAST BROADWAY, JACKSON, WY 83001
- **Practice address phone:** (307) 733-2555
- **Practice address fax:** (307) 733-2552
- **Mailing address:** PO BOX 1190, JACKSON, WY 83001-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1083 | WY | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/22/2020
