Organization
SMILE DOCTORS OF WYOMING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY F COOMBS DMD (SOLE SHAREHOLDER)
(970) 226-5505
Entity
Organization
Contact information
Practice address
5040 E 2ND ST STE 2, CASPER, WY 82609-4468
(307) 224-1050
Mailing address
4360 BOARDWALK DR STE 200, FORT COLLINS, CO 80525-5940
(970) 226-5505
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1297
WY
Other
Enumeration date
03/15/2018
Last updated
05/07/2018
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