Individual
PARLEY JACK FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2405 CASCADE DR, ROCK SPRINGS, WY 82901-5580
(307) 362-8842
Mailing address
2405 CASCADE DR, ROCK SPRINGS, WY 82901-5580
(307) 362-8842
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
138264-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
743
WY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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