| Michael J. Kunzler Dmd, Inc | |
|
2822 Highway 414 Lyman WY 82937-9140 | |
| (307) 786-4500 | |
| (307) 786-4649 |
| Full Name | Michael J. Kunzler Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2822 Highway 414, Lyman, Wyoming |
| Authorized Official Name and Position | Michael Jay Kunzler (OWNER) |
| Authorized Official Contact | 3077864500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Kunzler Dmd, Inc 2822 Highway 414 Lyman WY 82937-9140 Ph: (307) 786-4500 | Michael J. Kunzler Dmd, Inc 2822 Highway 414 Lyman WY 82937-9140 Ph: (307) 786-4500 |
| NPI Number | 1912438524 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912438524 | NPI | - | NPPES |
| 144552900 | Medicaid | WY | |
| 120147600 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1116 (Wyoming) | Primary |
Clifford Olguin Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Meadow St # 11, Lyman, WY 82937 Phone: 307-786-2300 Fax: 307-786-2345 |