Individual
DR. LEIF ANDREW POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
110 E ARAPAHOE ST, THERMOPOLIS, WY 82443-2402
(307) 864-9411
Mailing address
110 E ARAPAHOE ST, THERMOPOLIS, WY 82443-2402
(307) 864-9411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6549
NE
Other
Enumeration date
05/16/2006
Last updated
08/20/2014
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