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Organization

ASPEN RIDGE DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLIS 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, WY 82601-3965
(307) 234-6054
(307) 234-7896

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1026
WY

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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