CLYDE WALLACE STOCK

FREEDOM, WY
NPI1144568924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: WY  472)
Enumeration Date2013-01-29
Last Update Date2013-01-29
Business Address
Dr. CLYDE WALLACE STOCK D.D.S.
156 COUNTY ROAD 114
FREEDOM, WY 83120
Phone number: 307-880-2760
Mailing Address
Dr. CLYDE WALLACE STOCK D.D.S.
PO BOX 227
FREEDOM, WY 83120
Phone number: 307-880-2760