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Organization
CODY DENTAL EXCELLENCE
Active
Organization
CODY DENTAL EXCELLENCE
Active
Other names
Wyoming Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVON HOLEMAN DMD (DENTIST)
(307) 587-3000
Entity
Organization
Contact information
Practice address
726 ALLEN AVE, CODY, WY 82414-3443
(307) 587-3000
(307) 587-3012
Mailing address
726 ALLEN AVE, CODY, WY 82414-3443
(307) 587-3000
(307) 587-3012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1290
WY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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