NPI 1790844041

Gary W Vollan

Practitioner Denturist Basin, WY

Practice location

Address: 502 South 4th, Basin, WY 82410-0332
Phone: (307) 568-2047
Mailing address: PO Box 332 502 S. 4th, Basin, WY 82410-0332

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-184236 (OR)

Other Denturist providers in Wyoming →

Registry record

NPI: 1790844041
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.