Cody Dental Excellence

NPI #1154696409 in Cody, Wyoming

Provider Information

NPI Number: 1154696409
Entity Type: Organization
Organization Name: Cody Dental Excellence
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 726 ALLEN AVE
City: Cody
State: Wyoming
ZIP Code: 82414-3443
Phone: (307) 587-3000

Authorized Official

Name: DR. DEVON HOLEMAN, DMD
Title: DENTIST
Phone: (307) 587-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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