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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

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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