Organization
GOOSE CREEK DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA BURRIDGE (PRACTICE MANAGER)
(307) 655-8661
Entity
Organization
Contact information
Practice address
642 VAL VISTA ST STE B, SHERIDAN, WY 82801-3660
(307) 655-8661
(307) 655-8662
Mailing address
642 VAL VISTA ST STE B, SHERIDAN, WY 82801-3660
(307) 655-8661
(307) 655-8662
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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