SOH OF WYOMING LLC

CHEYENNE, WY
NPI1740942002
Entity TypeOrganization
Authorized ContactASHLY KRISTINE SUNSHINE
Credentialing Specialist
314-413-2803
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2021-10-13
Last Update Date2023-06-01
Business Address
SOH OF WYOMING LLC
121 W CARLSON ST
CHEYENNE, WY 82009-4044
Phone number: 307-635-1197
Mailing Address
SOH OF WYOMING LLC
121 W CARLSON ST
CHEYENNE, WY 82009-4044
Phone number: 307-635-1197
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