Organization
ACCESS DENTAL CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B LUDDINGTON DDS (DENTIST)
(307) 632-6665
Entity
Organization
Contact information
Practice address
405 E 19TH ST, CHEYENNE, WI 82001
(307) 632-6665
(307) 637-6733
Mailing address
405 E 19TH ST, CHEYENNE, WI 82001
(307) 632-6665
(307) 637-6733
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
939
WY
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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