Cody Dental Excellence

NPI 1154696409 - Dentist - 1223G0001X

NPI Details
NPI 1154696409
Enumeration Date 03/20/2012
Last Updated 03/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEVON DEVON
Position DENTIST
Phone (307) 587-3000
Fax (307) 587-3012
Practice Location
726 ALLEN AVE
CODY WY, 82414-3443, US
Phone (307) 587-3000
Fax (307) 587-3012
Business Location
726 ALLEN AVE
CODY WY, 82414-3443, US
Phone (307) 587-3000
Fax (307) 587-3012
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 1290
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According to our database, Cody Dental Excellence NPI is 1154696409, taxonomy code is 1223G0001X and license number is 1290, license state is located at Wyoming. Cody Dental Excellence physically located at 726 Allen Ave, Cody WY, 82414-3443. NPI Number 1033115704 has the healthcare provider type.

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1154696409 NPI number is provided on an as is basis without warranty of any kind. 1154696409 is maintained by the National Plan & Provider Enumeration System. The contents of Cody Dental Excellence are for informational purposes only.