Organization
PAUL A. DONA, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TISH NEFF (CLINICAL ADMINISTRATOR)
(307) 234-3890
Entity
Organization
Contact information
Practice address
1201 S ELK ST, CASPER, WY 82601-4009
(307) 234-3890
(307) 472-5583
Mailing address
1201 S ELK ST, CASPER, WY 82601-4009
(307) 234-3890
(307) 472-5583
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WY687
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106734600
ACS MEDICAID
WY
Enumeration date
07/11/2013
Last updated
07/11/2013
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