| Michael G Shane Dds Pc | |
|
350 Garfield St Lander WY 82520-3124 | |
| (307) 332-3181 | |
| (307) 332-3484 |
| Full Name | Michael G Shane Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 350 Garfield St, Lander, Wyoming |
| Authorized Official Name and Position | Michael George Shane (PRESIDENT) |
| Authorized Official Contact | 3073323181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Shane Dds Pc 350 Garfield Lander WY 82520-3124 Ph: (307) 332-3181 | Michael G Shane Dds Pc 350 Garfield St Lander WY 82520-3124 Ph: (307) 332-3181 |
| NPI Number | 1891871471 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891871471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 926 (Wyoming) | Primary |
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