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1003069865
WYOMING COSMETIC AND FAMILY DENTAL
CHEYENNE, WY
NPI
1003069865
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Entity Type
Organization
Authorized Contact
JASON N WHITING
Dentist
307-635-2419
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: WY 1199)
Enumeration Date
2008-10-24
Last Update Date
2008-10-24
Business Address
WYOMING COSMETIC AND FAMILY DENTAL
4620 GRANDVIEW AVE
CHEYENNE, WY 82009-4963
Phone number: 307-635-2419
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Mailing Address
WYOMING COSMETIC AND FAMILY DENTAL
4620 GRANDVIEW AVE
CHEYENNE, WY 82009-4963
Phone number: 307-635-2419
Copy
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