Pediatric Dentistry Llc

NPI 1265848774 - Dentist - 1223P0221X

NPI Details
NPI 1265848774
Enumeration Date 07/03/2014
Last Updated 07/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MATTHEW C MATTHEW
Position OWNER
Phone (307) 778-7100
Fax (307) 778-2824
Practice Location
1439 STILLWATER AVE STE 7
CHEYENNE WY, 82009-7367, US
Phone (307) 778-7100
Fax (307) 778-2824
Business Location
1439 STILLWATER AVE STE 7
CHEYENNE WY, 82009-7367, US
Phone (307) 778-7100
Fax (307) 778-2824
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
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According to our database, Pediatric Dentistry Llc NPI is 1265848774, taxonomy code is 1223P0221X Pediatric Dentistry Llc physically located at 1439 Stillwater Ave Ste 7, Cheyenne WY, 82009-7367. NPI Number 1033115704 has the healthcare provider type.

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1265848774 NPI number is provided on an as is basis without warranty of any kind. 1265848774 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Dentistry Llc are for informational purposes only.