DR. MICHAEL WINE, DDS

Dentist

Active Individual
NPI: 1245353168

Practice Address

610 W BROADWAY AVE
Jackson, WY 83001

Phone: (307) 732-2273

Specialties

Specialty Code Primary License
Dentist 122300000X No D 4424 (ID)

Frequently Asked Questions

NPI 1245353168 is the National Provider Identifier for DR. MICHAEL WINE, DDS, a Dentist provider located in Jackson, WY. This NPI was enumerated on April 7, 2007.
DR. MICHAEL WINE, DDS practices at 610 W BROADWAY AVE, Jackson, WY 83001.

Quick Facts

NPI
1245353168
Type
Individual
Enumerated
Apr 7, 2007
Last Updated
Sep 1, 2016

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