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1497891790
PHILLIP HERBERT LORENZ
CHEYENNE, WY
NPI
1497891790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WY 1042)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- PHILLIP HERBERT LORENZ DDS
2200 LOGAN AVE
CHEYENNE, WY 82001-4151
Phone number: 307-635-5560
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Mailing Address
-- PHILLIP HERBERT LORENZ DDS
2200 LOGAN AVE
CHEYENNE, WY 82001-4151
Phone number: 307-635-5560
Copy
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