Individual
MS. JESSICA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1933 E A ST, CASPER, WY 82601-2224
(307) 237-8435
Mailing address
1933 E A ST, CASPER, WY 82601-2224
(307) 237-8435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1449
WY
Other
Enumeration date
07/15/2016
Last updated
12/20/2017
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