| Wyodentalimplants | |
|
1122 S Conwell St Casper WY 82601-3965 | |
| (307) 234-6054 | |
| Not Available |
| Full Name | Wyodentalimplants |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1122 S Conwell St, Casper, Wyoming |
| Authorized Official Name and Position | Stuart Youmans (OWNER) |
| Authorized Official Contact | 3072585975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyodentalimplants 1122 S Conwell St Casper WY 82601-3965 | Wyodentalimplants 1122 S Conwell St Casper WY 82601-3965 Ph: (307) 234-6054 |
| NPI Number | 1497599450 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497599450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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