GRINNELL STREET DENTAL GROUP

NPI # 

Practice Address:

108 E Grinnell St

Sheridan, WY, 82801-3938

Practice Phone:

307-672-7567

Practice Fax:

307-673-0568

License Number:

WY1047

License State:

WY

Taxonomy Grouping:

Dental Providers

Taxonomy Classification:

Dentist

Taxonomy Specialization:

General Practice

Taxonomy Code:

1223G0001X