Organization
HOLWEGNER ORTHODONTICS, LLC
Active
Organization
HOLWEGNER ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALLISTA MARIE HOLWEGNER D.D.S., M.S. (ORTHODONTIST)
(307) 638-8958
Entity
Organization
Contact information
Practice address
7010 YELLOWTAIL RD, SUITE 200, CHEYENNE, WY 82009-6113
(307) 638-8958
Mailing address
7010 YELLOWTAIL RD, SUITE 200, CHEYENNE, WY 82009-6113
(307) 638-8958
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1285
WY
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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