PAUL ALAN AXTHELM

RIVERTON, WY
NPI1710980651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  681)
Enumeration Date2005-05-24
Last Update Date2007-07-08
Business Address
Dr. PAUL ALAN AXTHELM DDS
325 W MAIN ST STE A
RIVERTON, WY 82501-3448
Phone number: 307-856-8197
Mailing Address
Dr. PAUL ALAN AXTHELM DDS
325 W MAIN ST STE A
RIVERTON, WY 82501-3448
Phone number: 307-856-8197