| Braces U Wyoming Pc | |
|
6900 Yellowtail Rd Ste 100 Cheyenne WY 82009-6102 | |
| (307) 632-2480 | |
| (307) 635-9218 |
| Full Name | Braces U Wyoming Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6900 Yellowtail Rd Ste 100, Cheyenne, Wyoming |
| Authorized Official Name and Position | Cory Faust Coombs (PRESIDENT) |
| Authorized Official Contact | 9702265505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces U Wyoming Pc 4360 Boardwalk Dr Ste 200 Fort Collins CO 80525-5940 Ph: (970) 226-5505 | Braces U Wyoming Pc 6900 Yellowtail Rd Ste 100 Cheyenne WY 82009-6102 Ph: (307) 632-2480 |
| NPI Number | 1669916334 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669916334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1297 (Wyoming) | Primary |
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