Richard D Ullery JR. DDS

NPI 1689777146 - Dentist - 1223G0001X

NPI Details
NPI 1689777146
Gender Male
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1972 E 1ST ST
CASPER WY, 82601-2747, US
Phone (307) 577-4944
Fax (307) 577-5029
Business Location
1972 E 1ST ST
CASPER WY, 82601-2747, US
Phone (307) 577-4944
Fax (307) 577-5029
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 1075
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According to our database, Richard D Ullery JR. DDS NPI is 1689777146, taxonomy code is 1223G0001X and license number is 1075, license state is located at Wyoming. Richard D Ullery JR. DDS physically located at 1972 E 1st St, Casper WY, 82601-2747. NPI Number Richard D Ullery JR. DDS has the Individual type.

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1689777146 NPI number is provided on an as is basis without warranty of any kind. 1689777146 is maintained by the National Plan & Provider Enumeration System. The contents of Richard D Ullery JR. DDS are for informational purposes only.