Organization
ROY E. PAULSON JR PC
Active
Other names
Casper Childrens Dental Clinic.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY EDWARD PAULSON JR. D.D.S (PEDIATRIC DENTIST)
(307) 686-7635
Entity
Organization
Contact information
Practice address
2805 CEDAR AVE STE A, GILLETTE, WY 82718-2000
(307) 686-7635
(307) 237-4424
Mailing address
2805 CEDAR AVE STE A, GILLETTE, WY 82718-2000
(307) 686-7635
(307) 237-4424
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112331901
—
WY
Enumeration date
05/22/2007
Last updated
03/17/2015
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