| Soh Of Wyoming Llc | |
|
121 W Carlson St Cheyenne WY 82009-4044 | |
| (307) 635-1197 | |
| Not Available |
| Full Name | Soh Of Wyoming Llc |
|---|---|
| Speciality | Dentist |
| Location | 121 W Carlson St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Samson Liu (MANAGER) |
| Authorized Official Contact | 2178217960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soh Of Wyoming Llc 121 W Carlson St Cheyenne WY 82009-4044 Ph: () - | Soh Of Wyoming Llc 121 W Carlson St Cheyenne WY 82009-4044 Ph: (307) 635-1197 |
| NPI Number | 1518623644 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518623644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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