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1093589863
DESIGNER SMILES LLC
CHEYENNE, WY
NPI
1093589863
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Entity Type
Organization
Authorized Contact
CHAD MICHAEL CLARK
President
307-240-9966
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-11-13
Last Update Date
2023-12-01
Business Address
DESIGNER SMILES LLC
405 E 19TH ST
CHEYENNE, WY 82001-4643
Phone number: 307-343-5676
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Mailing Address
DESIGNER SMILES LLC
604 MEADOWLARK LN
RIVERTON, WY 82501-2214
Phone number: 307-343-5676
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