Soh Of Wyoming Llc | |
121 W Carlson St Cheyenne WY 82009-4044 | |
(307) 635-1197 | |
Not Available |
Full Name | Soh Of Wyoming Llc |
---|---|
Speciality | Dentist |
Location | 121 W Carlson St, Cheyenne, Wyoming |
Authorized Official Name and Position | Samson Liu (MANAGER) |
Authorized Official Contact | 2178217960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soh Of Wyoming Llc 121 W Carlson St Cheyenne WY 82009-4044 Ph: () - | Soh Of Wyoming Llc 121 W Carlson St Cheyenne WY 82009-4044 Ph: (307) 635-1197 |
NPI Number | 1518623644 |
---|---|
Provider Enumeration Date | 11/12/2021 |
Last Update Date | 11/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518623644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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