Organization · Type 2 NPI
Wyoming Cosmetic and Family Dental
Dental Clinic/Center · Cheyenne, WY
NPI number
1003069865
Active
Practice location
4620 Grandview Ave
Cheyenne, WY 82009-4963
Fax (307) 772-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 1199 (WY) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1003069865
Wyoming Cosmetic and Family Dental's National Provider Identifier is 1003069865, issued on Oct 24, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cheyenne, WY. The record was last updated on Oct 24, 2008.