Wyoming Cosmetic And Family Dental

NPI 1003069865 - Clinic/Center - 261QD0000X

NPI Details
NPI 1003069865
Enumeration Date 10/24/2008
Last Updated 10/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JASON N JASON
Position DENTIST
Phone (307) 635-2419
Fax (307) 772-3443
Practice Location
4620 GRANDVIEW AVE
CHEYENNE WY, 82009-4963, US
Phone (307) 635-2419
Fax (307) 772-3443
Business Location
4620 GRANDVIEW AVE
CHEYENNE WY, 82009-4963, US
Phone (307) 635-2419
Fax (307) 772-3443
Toxanomy
Taxonomy Code 261QD0000X
License State Wyoming
License Number 1199
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According to our database, Wyoming Cosmetic And Family Dental NPI is 1003069865, taxonomy code is 261QD0000X and license number is 1199, license state is located at Wyoming. Wyoming Cosmetic And Family Dental physically located at 4620 Grandview Ave, Cheyenne WY, 82009-4963. NPI Number 1033115704 has the healthcare provider type.

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1003069865 NPI number is provided on an as is basis without warranty of any kind. 1003069865 is maintained by the National Plan & Provider Enumeration System. The contents of Wyoming Cosmetic And Family Dental are for informational purposes only.