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DR. KEVIN MICHAEL SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
Mailing address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514
(307) 332-7300

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901017315
MI

Other

Enumeration date
12/29/2006
Last updated
11/17/2011
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