Individual
CRYSTAL UMPHLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1114 RUMSEY AVE, CODY, WY 82414-3606
(307) 527-7571
Mailing address
1114 RUMSEY AVE, CODY, WY 82414-3606
(307) 527-7571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1415
WY
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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