| NPI | 1821207036 |
|---|---|
| Doing Business As | CASPER CHILDRENS DENTAL CLINIC. |
| Entity Type | Organization |
| Authorized Contact | ROY EDWARD PAULSON Pediatric Dentist 307-686-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-03-17 |