Organization
MICHAEL G SHANE DDS PC
Active
Other names
Michael G Shane DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GEORGE SHANE DDS (PRESIDENT)
(307) 332-3181
Entity
Organization
Contact information
Practice address
350 GARFIELD ST, LANDER, WY 82520-3124
(307) 332-3181
(307) 332-3484
Mailing address
350 GARFIELD, LANDER, WY 82520-3124
(307) 332-3181
(307) 332-3484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
926
WY
Other
Enumeration date
10/27/2006
Last updated
07/18/2007
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