Wyoming Cosmetic and Family Dental

NPI #1194205401 in Cheyenne, Wyoming

Provider Information

NPI Number: 1194205401
Entity Type: Organization
Organization Name: Wyoming Cosmetic and Family Dental
Primary Specialty: Dentist
Enumeration Date: Aug 16, 2018
Last Updated: Aug 16, 2018

Practice Location

Address: 4620 GRANDVIEW AVE
Address 2: SUITE #101
City: Cheyenne
State: Wyoming
ZIP Code: 82009
Phone: (307) 635-2419

Authorized Official

Name: JASON WHITING, DMD
Title: OWNER
Phone: (307) 635-2419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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