| Aesthetic Dentistry Pc | |
| 
					2029 Bluegrass Cir Cheyenne WY 82009-7368  | |
| (307) 632-6597 | |
| (307) 632-2170 | 
| Full Name | Aesthetic Dentistry Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 2029 Bluegrass Cir, Cheyenne, Wyoming | 
| Authorized Official Name and Position | Mary Kay Krivy (DDS DENTIST) | 
| Authorized Official Contact | 3076326597 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aesthetic Dentistry Pc 2029 Bluegrass Cir Cheyenne WY 82009-7368 Ph: (307) 632-6597  | Aesthetic Dentistry Pc 2029 Bluegrass Cir Cheyenne WY 82009-7368 Ph: (307) 632-6597  | 
| NPI Number | 1487635926 | 
|---|---|
| Provider Enumeration Date | 11/10/2005 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487635926 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WY967 (Wyoming) | Secondary | 
| 1223G0001X | Dentist - General Practice | WY963 (Wyoming) | Primary | 
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