Organization
STAR VALLEY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY J WESTON DDS (SECRETARY)
(307) 885-4355
Entity
Organization
Contact information
Practice address
725 NO WASHINGTON STREET, AFTON, WY 83110
(307) 885-4355
Mailing address
PO BOX 1390, AFTON, WY 83110-1390
(307) 885-4355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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