Davis Dental PC

NPI #1952689937 in Cheyenne, Wyoming

Provider Information

NPI Number: 1952689937
Entity Type: Organization
Organization Name: Davis Dental PC
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2011
Last Updated: Jul 25, 2011

Practice Location

Address: 3116 ACACIA DR
City: Cheyenne
State: Wyoming
ZIP Code: 82001-5804
Phone: (307) 634-3488

Authorized Official

Name: DR. RANDALL THOMASSON DAVIS, D.D.S.
Title: DENTIST
Phone: (307) 634-3488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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