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1497394068
STAR VALLEY DENTAL 1 LLC
AFTON, WY
NPI
1497394068
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Entity Type
Organization
Authorized Contact
DAVID HOKANSON
Owner
307-248-0741
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
STAR VALLEY DENTAL 1 LLC
725 N WASHINGTON ST
AFTON, WY 83110-1390
Phone number: 307-885-4355
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Mailing Address
STAR VALLEY DENTAL 1 LLC
PO BOX 1390
AFTON, WY 83110-1390
Phone number: 307-885-4355
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