Soh of Wyoming LLC

NPI #1740942002 in Cheyenne, Wyoming

Provider Information

NPI Number: 1740942002
Entity Type: Organization
Organization Name: Soh of Wyoming LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOH OF WYOMING LLC
Primary Specialty: Dentist
Enumeration Date: Oct 13, 2021
Last Updated: Jun 1, 2023

Practice Location

Address: 121 W CARLSON ST
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4044
Phone: (307) 635-1197

Authorized Official

Name: ASHLY KRISTINE SUNSHINE
Title: CREDENTIALING SPECIALIST
Phone: (314) 413-2803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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