Organization
SUNLIGHT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD CLARK CHRISTIANSEN DDS (MANAGING MEMBER)
(307) 331-8293
Entity
Organization
Contact information
Practice address
2120 LOGAN AVE, CHEYENNE, WY 82001-4131
(307) 638-8071
Mailing address
2120 LOGAN AVE, CHEYENNE, WY 82001-4131
(307) 638-8071
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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