Individual
MELVIN GINEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 S DIVISION ST, POWELL, WY 82435-2512
(307) 754-5502
Mailing address
215 S DIVISION ST, POWELL, WY 82435-2512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
692
WY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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