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1982932265
PAINTBRUSH DENTAL, PC
THERMOPOLIS, WY
NPI
1982932265
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Entity Type
Organization
Authorized Contact
LEIF A POLSON
Owner
307-864-9411
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: WY 1222)
Enumeration Date
2009-11-25
Last Update Date
2009-11-25
Business Address
PAINTBRUSH DENTAL, PC
110 E ARAPAHOE ST
THERMOPOLIS, WY 82443
Phone number: 307-864-9411
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Mailing Address
PAINTBRUSH DENTAL, PC
110 E ARAPAHOE ST PO BOX 751
THERMOPOLIS, WY 82440-0751
Phone number: 307-864-9411
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