Organization
BRACES U WYOMING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY FAUST COOMBS DMD (PRESIDENT)
(970) 226-5505
Entity
Organization
Contact information
Practice address
6900 YELLOWTAIL RD STE 100, CHEYENNE, WY 82009-6102
(307) 632-2480
(307) 635-9218
Mailing address
4360 BOARDWALK DR STE 200, FORT COLLINS, CO 80525-5940
(970) 226-5505
(970) 226-8669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1297
WY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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