Organization
O'FARRELL FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW O'FARRELL DDS (DENTIST)
(307) 362-1720
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
1476
WY
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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