| Heart Mountain Dental L.l.c. | |
|
1426 Stampede Ave Cody WY 82414-4226 | |
| (307) 587-6028 | |
| Not Available |
| Full Name | Heart Mountain Dental L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1426 Stampede Ave, Cody, Wyoming |
| Authorized Official Name and Position | Joshua George (MANAGER) |
| Authorized Official Contact | 3075876028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Mountain Dental L.l.c. 1426 Stampede Ave Cody WY 82414-4226 Ph: () - | Heart Mountain Dental L.l.c. 1426 Stampede Ave Cody WY 82414-4226 Ph: (307) 587-6028 |
| NPI Number | 1043694565 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043694565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1419 (Wyoming) | Primary |
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› Verified 5 days ago
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