TRENTON KYLE BURRUP

SHERIDAN, WY
NPI1134469570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  1310)
Enumeration Date2013-02-21
Last Update Date2013-02-22
Business Address
-- TRENTON KYLE BURRUP DDS
2 N MAIN ST STE 405
SHERIDAN, WY 82801-6324
Phone number: 307-672-7439
Mailing Address
-- TRENTON KYLE BURRUP DDS
2 N MAIN ST STE 405
SHERIDAN, WY 82801-6324
Phone number: 307-672-7439