Individual
DR. DAVID VERONESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1211 S DOUGLAS HWY STE 200, GILLETTE, WY 82716-4968
(307) 682-6771
Mailing address
1211 S DOUGLAS HWY STE 200, GILLETTE, WY 82716-4968
(307) 682-6771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1010
WY
122300000X
Dentist
9129
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-03669
TAX I.D. #
WY
Enumeration date
07/28/2006
Last updated
07/08/2007
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