institution
Wyoming Cosmetic And Family Dental
Dental Clinic/Center in Cheyenne, Wyoming
NPI 1003069865

Wyoming Cosmetic And Family Dental is a Dental Clinic/Center based in Cheyenne, WY and is specialized in Dental. Wyoming Cosmetic And Family Dental practices in Cheyenne, WY. The NPI Number for Wyoming Cosmetic And Family Dental is 1003069865 and holds a License No. 1199 (Wyoming).

The current practice location address for Wyoming Cosmetic And Family Dental is 4620 Grandview Ave, Cheyenne, WY and can be reached out via phone at 307-635-2419 and via fax at 307-772-3443.

Location: 4620 Grandview Ave, Cheyenne, WY, 82009-4963
institution
Provider Profile Details
NPI Number
1003069865
Provider Name
Wyoming Cosmetic And Family Dental
Credential
Provider Entity Type
Organization
Address
4620 Grandview Ave, Cheyenne, WY, 82009-4963
Phone Number
307-635-2419
Fax Number
307-772-3443
Provider Enumeration Date
10/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265421077 01 WY INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
4620 Grandview Ave
City
State
Zip
82009-4963
Phone Number
307-635-2419
Fax Number
307-772-3443
person
Provider Business Mailing Address Details
Address
4620 Grandview Ave
City
State
Zip
82009-4963
Phone Number
307-635-2419
Fax Number
307-772-3443
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
1199 (Wyoming)
Definition
Definition to come...
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