Organization
MOUNTAIN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ROBERT SUTTON DDS (DENTIST)
(307) 332-5230
Entity
Organization
Contact information
Practice address
345 GARFIELD ST, LANDER, WY 82520-3123
(307) 332-5230
(307) 332-5297
Mailing address
345 GARFIELD ST, LANDER, WY 82520-3123
(307) 332-5230
(307) 332-5297
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
975
WY
Other
Enumeration date
01/22/2007
Last updated
06/25/2008
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