Individual
ILENE CHOAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
417 W FLYING CIRCLE DR, GILLETTE, WY 82716-4701
(307) 682-3353
Mailing address
417 W FLYING CIRCLE DR, GILLETTE, WY 82716-4701
(307) 682-3353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1443
WY
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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