| NPI | 1063539963 |
|---|---|
| Doing Business As | DENTAL CARE OF JACKSON HOLE |
| Entity Type | Organization |
| Authorized Contact | PAULA J RIDGEWAY Managing Partner 307-732-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-10-23 |