| Pediatric Dentistry | |
|
1439 Stillwater Ave Suite 7 Cheyenne WY 82009-7367 | |
| (307) 778-7100 | |
| Not Available |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1439 Stillwater Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Matthew Henry (OWNER) |
| Authorized Official Contact | 9078543244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 1439 Stillwater Ave Suite 7 Cheyenne WY 82009-7367 Ph: (307) 778-7100 | Pediatric Dentistry 1439 Stillwater Ave Suite 7 Cheyenne WY 82009-7367 Ph: (307) 778-7100 |
| NPI Number | 1447562012 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447562012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1245 (Wyoming) | Primary |
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