Organization
GRAHAM FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER A. GRAHAM DDS (DENTIST)
(307) 856-5210
Entity
Organization
Contact information
Practice address
325 W MAIN ST STE G, RIVERTON, WY 82501-3448
(307) 856-5210
Mailing address
325 W MAIN ST STE G, RIVERTON, WY 82501-3448
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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