| Full Name | Denteffex |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1802 Spring Ct, Cheyenne, Wyoming |
| Authorized Official Name and Position | Alois Karl Tripam (ORGANIZER/ SOLE MEMBER) |
| Authorized Official Contact | 9702291878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denteffex 6638 Majestic Dr Fort Collins CO 80528-8891 Ph: (970) 229-1878 | Denteffex 1802 Spring Ct Cheyenne WY 82009-7346 Ph: (307) 635-3018 |
| NPI Number | 1477092781 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477092781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1467 (Wyoming) | Primary |
News Archive
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