Kincheloe Dental Office, PC

NPI #1881711174 in Cheyenne, Wyoming

Provider Information

NPI Number
1881711174
Entity Type
Organization
Organization Name
Kincheloe Dental Office, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
6244 YELLOWSTONE RD
State
Wyoming
ZIP Code
82009-3432
Phone
(307) 638-8520

Authorized Official

Name
DR. BRADLEY B KINCHELOE, DDS
Title
OFFICER
Phone
(307) 638-8520

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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