Organization
LARAMIE FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MAKI D.D.S. (PRESIDENT)
(307) 742-8484
Entity
Organization
Contact information
Practice address
3529 E GRAND AVE, LARAMIE, WY 82070-5135
(307) 742-8484
Mailing address
3529 E GRAND AVE, LARAMIE, WY 82070-5135
(307) 742-8484
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1243
WY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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