| Surfin Smiles LLC | |
|
295 N Walsh Dr Casper WY 82609-1911 | |
| (307) 472-9000 | |
| (307) 268-4953 |
| Full Name | Surfin Smiles LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 295 N Walsh Dr, Casper, Wyoming |
| Authorized Official Name and Position | Mindy Schott (OFFICE MANAGER) |
| Authorized Official Contact | 3074729000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfin Smiles LLC 295 N Walsh Dr Casper WY 82609-1911 Ph: (307) 472-9000 | Surfin Smiles LLC 295 N Walsh Dr Casper WY 82609-1911 Ph: (307) 472-9000 |
| NPI Number | 1205303195 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205303195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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