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Organization
JENNIFER DOSER DMD PC
Active
Organization
JENNIFER DOSER DMD PC
Active
Other names
Grand Avenue Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RAE DOSER DMD (PRESIDENT)
(307) 742-0722
Entity
Organization
Contact information
Practice address
303 S 8TH ST, LARAMIE, WY 82070-3914
(307) 742-0722
(307) 742-0727
Mailing address
303 S 8TH ST, LARAMIE, WY 82070-3914
(307) 742-0722
(307) 742-0727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1255
WY
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129817800
—
WY
Enumeration date
02/24/2016
Last updated
08/25/2016
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