Organization
ALPINE DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA G COOPER (OFFICE MANAGER)
(307) 426-4014
Entity
Organization
Contact information
Practice address
4000 LARAMIE ST, CHEYENNE, WY 82001-2064
(307) 426-4014
(307) 426-4016
Mailing address
4000 LARAMIE ST, CHEYENNE, WY 82001-2064
(307) 426-4014
(307) 426-4016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1086
WY
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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