Organization
SHERIDAN WYO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT QUIST (BUSINESS MANAGER)
(307) 672-2328
Entity
Organization
Contact information
Practice address
2 N MAIN ST STE 405, SHERIDAN, WY 82801-6324
(307) 672-7439
Mailing address
2 N MAIN ST STE 405, SHERIDAN, WY 82801-6324
(307) 672-7439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1310
WY
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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