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1194044750
TETON DERMATOLOGY LLC
JACKSON, WY
NPI
1194044750
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Entity Type
Organization
Authorized Contact
GHEORGHE PUSTA
Executive Director
512-628-0465
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2010-05-21
Last Update Date
2024-09-18
Business Address
TETON DERMATOLOGY LLC
984 WEST BROADWAY SUITE 4
JACKSON, WY 83001-0000
Phone number: 307-734-1800
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Mailing Address
TETON DERMATOLOGY LLC
7300 RANCH RD. 2222, BLDG 1, STE 200
AUSTIN, TX 78730
Phone number: 512-628-0465
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