Individual
PATRICK SCOTT GAENSSLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
524 W FLAMING GORGE WAY, GREEN RIVER, WY 82935-4111
(307) 857-9491
Mailing address
524 W FLAMING GORGE WAY, GREEN RIVER, WY 82935-4111
(307) 857-9491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
826
WY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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