Organization
VISION AYUDA, INC.
Active
Other names
Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HENRY DDS (OWNER)
(907) 854-3244
Entity
Organization
Contact information
Practice address
1439 STILLWATER AVE, SUITE 7, CHEYENNE, WY 82009-7367
(307) 778-7100
Mailing address
1439 STILLWATER AVE, SUITE 7, CHEYENNE, WY 82009-7367
(307) 778-7100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1245
WY
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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