Organization
LARAME DENTAL ARTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY L KNAUB D.D.S. (PRACTICE OWNER)
(307) 745-5020
Entity
Organization
Contact information
Practice address
352 N 4TH ST, LARAMIE, WY 82072-3106
(307) 745-5020
(307) 745-0856
Mailing address
352 N 4TH ST, LARAMIE, WY 82072-3106
(307) 745-5020
(307) 745-0856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1200
WY
1223G0001X
General Practice Dentistry
777
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106285900
—
WY
Enumeration date
02/20/2009
Last updated
12/05/2017
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