Individual
DR. ROY E PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 N KENWOOD, CASPER, WY 82601
(307) 266-1997
Mailing address
102 N KENWOOD, CASPER, WY 82601
(307) 266-1997
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
864
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112331900
—
WY
05
—
112331901
—
WY
Enumeration date
09/14/2006
Last updated
11/22/2013
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