Grand Avenue Dental Care

NPI 1427063825 - Dentist - 122300000X

NPI Details
NPI 1427063825
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS THOMAS
Position DENTIST
Phone (307) 745-5647
Fax (307) 721-9866
Practice Location
303 S 8TH ST
LARAMIE WY, 82070, US
Phone (307) 745-5647
Fax (307) 721-9866
Business Location
303 S 8TH ST
LARAMIE WY, 82070, US
Phone (307) 745-5647
Fax (307) 721-9866
Toxanomy
Taxonomy Code 122300000X
License State Wyoming
License Number 506
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According to our database, Grand Avenue Dental Care NPI is 1427063825, taxonomy code is 122300000X and license number is 506, license state is located at Wyoming. Grand Avenue Dental Care physically located at 303 S 8th St, Laramie WY, 82070. NPI Number 1033115704 has the healthcare provider type.

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1427063825 NPI number is provided on an as is basis without warranty of any kind. 1427063825 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Avenue Dental Care are for informational purposes only.