| Dr Ajludd Dental Llc | |
|
3708 E Pershing Blvd Cheyenne WY 82001-5946 | |
| (307) 634-9111 | |
| Not Available |
| Full Name | Dr Ajludd Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3708 E Pershing Blvd, Cheyenne, Wyoming |
| Authorized Official Name and Position | Aaron John Luddington (OWNER) |
| Authorized Official Contact | 3076349111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ajludd Dental Llc 3708 E Pershing Blvd Cheyenne WY 82001-5946 Ph: (307) 634-9111 | Dr Ajludd Dental Llc 3708 E Pershing Blvd Cheyenne WY 82001-5946 Ph: (307) 634-9111 |
| NPI Number | 1902438641 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902438641 | NPI | - | NPPES |
| 1295883452 | Medicaid | WY | |
| 1326532441 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 8 days ago
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