Organization
ORAL & MAXILLOFACIAL SURGEONS OF WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CANDLER DMD (PARTNER)
(307) 389-2999
Entity
Organization
Contact information
Practice address
2405 CASCADE DR, ROCK SPRINGS, WY 82901-5580
(307) 389-2999
Mailing address
2297 N HILL FIELD RD # A105, LAYTON, UT 84041-6920
(801) 779-0506
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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