| Larame Dental Arts Pc | |
|
352 N 4th St Laramie WY 82072-3106 | |
| (307) 745-5020 | |
| (307) 745-0856 |
| Full Name | Larame Dental Arts Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 352 N 4th St, Laramie, Wyoming |
| Authorized Official Name and Position | Troy L Knaub (PRACTICE OWNER) |
| Authorized Official Contact | 3077455020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larame Dental Arts Pc 352 N 4th St Laramie WY 82072-3106 Ph: (307) 745-5020 | Larame Dental Arts Pc 352 N 4th St Laramie WY 82072-3106 Ph: (307) 745-5020 |
| NPI Number | 1386884054 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 12/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386884054 | NPI | - | NPPES |
| 106285900 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 777 (Wyoming) | Secondary |
| 1223G0001X | Dentist - General Practice | 1200 (Wyoming) | Primary |
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