Goose Creek Dental Clinic

NPI #1215414875 in Sheridan, Wyoming

Provider Information

NPI Number
1215414875
Entity Type
Organization
Organization Name
Goose Creek Dental Clinic
Primary Specialty
Clinic/Center
Enumeration Date
Jul 25, 2018
Last Updated
Jul 25, 2018

Practice Location

Address
642 VAL VISTA ST STE B
State
Wyoming
ZIP Code
82801-3660
Phone
(307) 655-8661

Authorized Official

Name
MRS. MONICA BURRIDGE
Title
PRACTICE MANAGER
Phone
(307) 655-8661

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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