Organization
CLOUD PEAK ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED JEFFERY STOWE D.D.S. (OWNER)
(307) 672-2580
Entity
Organization
Contact information
Practice address
523 VAL VISTA ST, SHERIDAN, WY 82801-3645
(307) 672-2580
(307) 674-9770
Mailing address
523 VAL VISTA ST, SHERIDAN, WY 82801-3645
(307) 672-2580
(307) 674-9770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1087
WY
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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