Wyoming Cosmetic and Family Dental

NPI #1003069865 in Cheyenne, Wyoming

Provider Information

NPI Number: 1003069865
Entity Type: Organization
Organization Name: Wyoming Cosmetic and Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 24, 2008
Last Updated: Oct 24, 2008

Practice Location

Address: 4620 GRANDVIEW AVE
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4963
Phone: (307) 635-2419

Authorized Official

Name: DR. JASON N WHITING, DMD
Title: DENTIST
Phone: (307) 635-2419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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