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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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