Organization
MICHELLE L MEEHAN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLA J HOLTHUS (OFFICE MANAGER)
(307) 674-9713
Entity
Organization
Contact information
Practice address
1465 BURTON ST STE A, SHERIDAN, WY 82801-2746
(307) 674-9713
(307) 673-1299
Mailing address
1465 BURTON ST STE A, SHERIDAN, WY 82801-2746
(307) 674-9713
(307) 673-1299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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