Organization
FRONTIER ORAL SURGERY AND IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM A HAMIDI DMD (OWNER/ SURGEON)
(307) 514-9233
Entity
Organization
Contact information
Practice address
7209 COMMONS CIR, UNIT A, CHEYENNE, WY 82009-2644
(307) 514-9233
(800) 952-8830
Mailing address
7209 COMMONS CIR, UNIT A, CHEYENNE, WY 82009-2644
(307) 514-9233
(800) 952-8830
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9281
CO
Other
Enumeration date
02/28/2012
Last updated
12/12/2014
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