| Davis Dental Pc | |
|
3116 Acacia Dr Cheyenne WY 82001-5804 | |
| (307) 634-3488 | |
| Not Available |
| Full Name | Davis Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 3116 Acacia Dr, Cheyenne, Wyoming |
| Authorized Official Name and Position | Randall Thomasson Davis (DENTIST) |
| Authorized Official Contact | 3076343488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Dental Pc 3116 Acacia Dr Cheyenne WY 82001-5804 Ph: (307) 634-3488 | Davis Dental Pc 3116 Acacia Dr Cheyenne WY 82001-5804 Ph: (307) 634-3488 |
| NPI Number | 1952689937 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952689937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1275 (Wyoming) | Primary |
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