Dba Westgate Dental | |
121 W Carlson St Cheyenne WY 82009-4044 | |
(307) 635-1197 | |
Not Available |
Full Name | Dba Westgate Dental |
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Speciality | Dentist |
Location | 121 W Carlson St, Cheyenne, Wyoming |
Authorized Official Name and Position | Ashly Kristine Sunshine (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3144132803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dba Westgate Dental 121 W Carlson St Cheyenne WY 82009-4044 Ph: (307) 635-1197 | Dba Westgate Dental 121 W Carlson St Cheyenne WY 82009-4044 Ph: (307) 635-1197 |
NPI Number | 1740942002 |
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Provider Enumeration Date | 10/13/2021 |
Last Update Date | 06/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740942002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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