TATE EZRA ANDERSON

GREYBULL, WY
NPI1568023471
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  1535)
Enumeration Date2019-06-23
Last Update Date2019-06-23
Business Address
Dr. TATE EZRA ANDERSON DDS
337 GREYBULL AVE
GREYBULL, WY 82426-2049
Phone number: 307-765-4654
Mailing Address
Dr. TATE EZRA ANDERSON DDS
337 GREYBULL AVE
GREYBULL, WY 82426-2049
Phone number: 307-765-4654
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