| Westgate Dental | |
|
121 W Carlson St Cheyenne WY 82009-4044 | |
| (307) 635-1197 | |
| Not Available |
| Full Name | Westgate Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 W Carlson St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Benjamin J Harrell (DENTIST) |
| Authorized Official Contact | 3076351197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Dental 121 W Carlson St Cheyenne WY 82009-4044 Ph: (307) 635-1197 | Westgate Dental 121 W Carlson St Cheyenne WY 82009-4044 Ph: (307) 635-1197 |
| NPI Number | 1255725297 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255725297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1173 (Wyoming) | Primary |
| 261QD0000X | Clinic/center - Dental | 1355 (Wyoming) | Secondary |
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