Individual
MR. TAYLOR STEFAN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 STOREY BLVD STE A, CHEYENNE, WY 82009-3595
(502) 852-5096
Mailing address
1611 RICHARD MARTIN DR UNIT 202, CHEYENNE, WY 82007-2049
(509) 430-6947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1645
WY
Other
Enumeration date
06/07/2022
Last updated
10/03/2023
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