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1326127234
CHEYENNE PERIODONTICS, PC
CHEYENNE, WY
NPI
1326127234
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Entity Type
Organization
Authorized Contact
JOHN C. VAN GINKEL
Dentist
307-632-4574
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: WY 890)
Enumeration Date
2006-11-02
Last Update Date
2012-09-22
Business Address
CHEYENNE PERIODONTICS, PC
1401 AIRPORT PKWY SUITE 110
CHEYENNE, WY 82001-1518
Phone number: 307-632-4574
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Mailing Address
CHEYENNE PERIODONTICS, PC
1401 AIRPORT PKWY SUITE 110
CHEYENNE, WY 82001-1518
Phone number: 307-632-4574
Copy
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