Individual
PHILIP SAMUEL STORRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3090 TALON DR, CASPER, WY 82604-3378
(307) 231-1801
Mailing address
3090 TALON DR, CASPER, WY 82604-3378
(307) 237-1801
(307) 237-3686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1607
WY
1223G0001X
General Practice Dentistry
1607
WY
Other
Enumeration date
03/19/2022
Last updated
04/27/2023
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