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Organization
WHITE MOUNTAIN DENTAL
Active
Organization
WHITE MOUNTAIN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER BARNEY CARLSON (OWNER/DENTIST)
(307) 362-2220
Entity
Organization
Contact information
Practice address
2701 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4889
(307) 362-2220
(307) 362-2322
Mailing address
2701 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4889
(307) 362-2220
(307) 362-2322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1216
WY
Other
Enumeration date
08/26/2009
Last updated
03/09/2015
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