| Aesthetic Dentistry Pc | |
|
2029 Bluegrass Cir Cheyenne WY 82009-7368 | |
| (307) 632-6597 | |
| (307) 632-2170 |
| Full Name | Aesthetic Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2029 Bluegrass Cir, Cheyenne, Wyoming |
| Authorized Official Name and Position | Mary Kay Krivy (DDS DENTIST) |
| Authorized Official Contact | 3076326597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dentistry Pc 2029 Bluegrass Cir Cheyenne WY 82009-7368 Ph: (307) 632-6597 | Aesthetic Dentistry Pc 2029 Bluegrass Cir Cheyenne WY 82009-7368 Ph: (307) 632-6597 |
| NPI Number | 1487635926 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487635926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WY963 (Wyoming) | Primary |
| 1223G0001X | Dentist - General Practice | WY967 (Wyoming) | Secondary |
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