Walgren Dental Arts Pc | |
3421 E Garfield St Laramie WY 82070-5163 | |
(307) 745-8513 | |
(307) 745-0263 |
Full Name | Walgren Dental Arts Pc |
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Speciality | Clinic/center - Dental |
Location | 3421 E Garfield St, Laramie, Wyoming |
Authorized Official Name and Position | Bradley K Walgren (DENTIST/OWNER) |
Authorized Official Contact | 3077458513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walgren Dental Arts Pc 3421 E Garfield St Laramie WY 82070-5163 Ph: (307) 745-8513 | Walgren Dental Arts Pc 3421 E Garfield St Laramie WY 82070-5163 Ph: (307) 745-8513 |
NPI Number | 1801337902 |
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Provider Enumeration Date | 03/09/2017 |
Last Update Date | 03/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801337902 | NPI | - | NPPES |
112311400 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 921 (Wyoming) | Primary |
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