Braces U Wyoming PC
Clinic/Center, Dental in Cheyenne, WY. Organization (NPI-2).
NPI number1669916334
StatusActive
Last updated in NPPESDec 14, 2016
Details
- NPI
- 1669916334
- Entity type
- Organization (NPI-2)
- Legal business name
- Braces U Wyoming PC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2016
- Last updated
- Dec 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 1297 | WY | Yes |
Practice location
6900 Yellowtail Rd Ste 100Cheyenne, WY 82009-6102
Phone 307-632-2480 · Fax 307-635-9218
Mailing address
4360 Boardwalk Dr Ste 200Fort Collins, CO 80525-5940
Phone 970-226-5505 · Fax 970-226-8669
Authorized official
Cory Faust Coombs
President
9702265505
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