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Organization

ROY E. PAULSON JR PC

Active
Other names
Casper Children's Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROY EDWARD PAULSON DDS (PEDIATRIC DENTIST)
(307) 266-1997
Entity
Organization

Contact information

Practice address
102 N. KENWOOD ST., CASPER, WY 82601-2724
(307) 266-1997
(307) 237-4424
Mailing address
102 N. KENWOOD ST., CASPER, WY 82601-2724
(307) 266-1997
(307) 237-4424

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112331900
WY
01
A0H1301FUMCMEAT
CMS EHR CERTIFICATION
Enumeration date
06/06/2007
Last updated
03/17/2015
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