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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