Individual
DR. JARED CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
229 STOREY BLVD STE A, CHEYENNE, WY 82009-3595
(307) 635-6300
Mailing address
229 STOREY BLVD STE A, CHEYENNE, WY 82009-3595
(307) 635-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1416
WY
Other
Enumeration date
06/22/2015
Last updated
01/30/2017
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