Organization
AESTHETIC DENTISTRY PC
Active
Other names
Eric A Dziurdziel DDS & Mary Kay Krivy DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KAY KRIVY DDS (DDS DENTIST)
(307) 632-6597
Entity
Organization
Contact information
Practice address
2029 BLUEGRASS CIR, CHEYENNE, WY 82009-7368
(307) 632-6597
(307) 632-2170
Mailing address
2029 BLUEGRASS CIR, CHEYENNE, WY 82009-7368
(307) 632-6597
(307) 632-2170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WY963
WY
1223G0001X
General Practice Dentistry
WY967
WY
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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