Organization
DRY CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERRI ANN DONAHUE D.D.S. (DENTIST)
(307) 634-9111
Entity
Organization
Contact information
Practice address
3708 E PERSHING BLVD, CHEYENNE, WY 82001-5946
(307) 634-9111
Mailing address
3708 E PERSHING BLVD, CHEYENNE, WY 82001-5946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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