Designer Smiles LLC

NPI #1093589863 in Cheyenne, Wyoming

Provider Information

NPI Number
1093589863
Entity Type
Organization
Organization Name
Designer Smiles LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 13, 2023
Last Updated
Dec 1, 2023

Practice Location

Address
405 E 19TH ST
State
Wyoming
ZIP Code
82001-4643
Phone
(307) 343-5676

Authorized Official

Name
DR. CHAD MICHAEL CLARK, DDS
Title
PRESIDENT
Phone
(307) 240-9966

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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