Individual
MICHAEL O'FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 DEWAR DR, ROCK SPRINGS, WY 82901-5915
(307) 362-1720
Mailing address
916 DEWAR DR, ROCK SPRINGS, WY 82901-5915
(307) 362-1720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1478
WY
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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