Individual
DR. LUCAS BENJAMIN KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 S BIG HORN AVE, MOORCROFT, WY 82721
(307) 756-9301
(307) 756-9301
Mailing address
PO BOX 909, MOORCROFT, WY 82721-0909
(307) 756-9301
(307) 756-9301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1498
WY
Other
Enumeration date
07/10/2018
Last updated
01/08/2021
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