MICHAEL G SHANE

LANDER, WY
NPI1558561621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WY  926)
Enumeration Date2007-07-18
Last Update Date2007-07-18
Business Address
-- MICHAEL G SHANE dds
350 GARFIELD ST
LANDER, WY 82520-3124
Phone number: 307-332-3181
Mailing Address
-- MICHAEL G SHANE dds
350 GARFIELD ST
LANDER, WY 82520-3124
Phone number: 307-332-3181