Advanced Dental, Inc. | |
7112 Commons Cir Cheyenne WY 82009-9999 | |
(970) 685-1371 | |
Not Available |
Full Name | Advanced Dental, Inc. |
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Speciality | Dentist - General Practice |
Location | 7112 Commons Cir, Cheyenne, Wyoming |
Authorized Official Name and Position | Shaun Roger Rocknak (OWNER) |
Authorized Official Contact | 9706851371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Dental, Inc. 7112 Commons Cir Cheyenne WY 82009-9999 Ph: (970) 685-1371 | Advanced Dental, Inc. 7112 Commons Cir Cheyenne WY 82009-9999 Ph: (970) 685-1371 |
NPI Number | 1770833113 |
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Provider Enumeration Date | 09/13/2012 |
Last Update Date | 09/13/2012 |
Identifier | Type | State | Issuer |
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1770833113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 1302 (Wyoming) | Primary |
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