Paintbrush Dental, Pc | |
110 E Arapahoe St Thermopolis WY 82443 | |
(307) 864-9411 | |
(307) 864-2756 |
Full Name | Paintbrush Dental, Pc |
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Speciality | Clinic/center - Dental |
Location | 110 E Arapahoe St, Thermopolis, Wyoming |
Authorized Official Name and Position | Leif A Polson (OWNER) |
Authorized Official Contact | 3078649411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paintbrush Dental, Pc 110 E Arapahoe St Po Box 751 Thermopolis WY 82440-0751 Ph: (307) 864-9411 | Paintbrush Dental, Pc 110 E Arapahoe St Thermopolis WY 82443 Ph: (307) 864-9411 |
NPI Number | 1982932265 |
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Provider Enumeration Date | 11/25/2009 |
Last Update Date | 11/25/2009 |
Identifier | Type | State | Issuer |
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1982932265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1222 (Wyoming) | Primary |