| NPI | 1750584173 |
|---|---|
| Doing Business As | CASPER CHILDREN'S DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROY EDWARD PAULSON Pediatric Dentist 307-266-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-03-17 |