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Organization
ASPEN RIDGE DENTAL
Active
Organization
ASPEN RIDGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIS A ADAMS (OFFICE MANAGER)
(307) 234-6054
Entity
Organization
Contact information
Practice address
1122 S CONWELL ST, CASPER, WY 82601-3965
(307) 234-6054
(307) 234-7896
Mailing address
1122 S CONWELL ST., CASPER, WA 82601-3965
(307) 234-6054
(307) 234-7896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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