Access Dental Care Clinic Pc | |
405 E 19th St Cheyenne WI 82001 | |
(307) 632-6665 | |
(307) 637-6733 |
Full Name | Access Dental Care Clinic Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 405 E 19th St, Cheyenne, Wisconsin |
Authorized Official Name and Position | John B Luddington (DENTIST) |
Authorized Official Contact | 3076326665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Access Dental Care Clinic Pc 405 E 19th St Cheyenne WI 82001 Ph: (307) 632-6665 | Access Dental Care Clinic Pc 405 E 19th St Cheyenne WI 82001 Ph: (307) 632-6665 |
NPI Number | 1386856227 |
---|---|
Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386856227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 939 (Wyoming) | Primary |
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