Blue Tooth Dental Inc.

NPI 1063664795 - Dentist - 1223G0001X

NPI Details
NPI 1063664795
Enumeration Date 10/13/2008
Last Updated 10/13/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHERRY SHERRY
Position OFFICE MANAGER
Phone (307) 789-9034
Fax (307) 789-9065
Practice Location
545 CHEYENNE DR
SUITE C
EVANSTON WY, 82930-5323, US
Phone (307) 789-9034
Fax (307) 789-9065
Business Location
545 CHEYENNE DR
SUITE C
EVANSTON WY, 82930-5323, US
Phone (307) 789-9034
Fax (307) 789-9065
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 715
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According to our database, Blue Tooth Dental Inc. NPI is 1063664795, taxonomy code is 1223G0001X and license number is 715, license state is located at Wyoming. Blue Tooth Dental Inc. physically located at 545 Cheyenne Dr, Evanston WY, 82930-5323. NPI Number 1033115704 has the healthcare provider type.

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1063664795 NPI number is provided on an as is basis without warranty of any kind. 1063664795 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Tooth Dental Inc. are for informational purposes only.