Braces U Wyoming PC

NPI #1669916334 in Cheyenne, Wyoming

Provider Information

NPI Number
1669916334
Entity Type
Organization
Organization Name
Braces U Wyoming PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 14, 2016
Last Updated
Dec 14, 2016

Practice Location

Address
6900 YELLOWTAIL RD STE 100
State
Wyoming
ZIP Code
82009-6102
Phone
(307) 632-2480

Authorized Official

Name
CORY FAUST COOMBS, DMD
Title
PRESIDENT
Phone
(970) 226-5505

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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