| Sunlight Dental | |
|
2120 Logan Ave Cheyenne WY 82001-4131 | |
| (307) 638-8071 | |
| Not Available |
| Full Name | Sunlight Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2120 Logan Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Chad Clark Christiansen (MANAGING MEMBER) |
| Authorized Official Contact | 3073318293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunlight Dental 2120 Logan Ave Cheyenne WY 82001-4131 Ph: (307) 638-8071 | Sunlight Dental 2120 Logan Ave Cheyenne WY 82001-4131 Ph: (307) 638-8071 |
| NPI Number | 1912642604 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912642604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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