BRACES U WYOMING PC NPI 1669916334

NPI Information

BRACES U WYOMING PC is a dental clinic center in Cheyenne, WY. BRACES U WYOMING PC NPI is 1669916334. The provider is registered as an organization entity type.

The provider's business location address is:

6900 YELLOWTAIL RD STE 100
CHEYENNE, WY
ZIP 82009-102
Phone: (307) 632-2480
Fax: (307) 635-9218

The provider's authorized official is Cory Faust Coombs .
The authorized official title is President and has the following contact phone number (970) 226-5505.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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