| Paintbrush Dental, Pc | |
| 
					110 E Arapahoe St Thermopolis WY 82443  | |
| (307) 864-9411 | |
| (307) 864-2756 | 
| Full Name | Paintbrush Dental, Pc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 110 E Arapahoe St, Thermopolis, Wyoming | 
| Authorized Official Name and Position | Leif A Polson (OWNER) | 
| Authorized Official Contact | 3078649411 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Paintbrush Dental, Pc 110 E Arapahoe St Po Box 751 Thermopolis WY 82440-0751 Ph: (307) 864-9411  | Paintbrush Dental, Pc 110 E Arapahoe St Thermopolis WY 82443 Ph: (307) 864-9411  | 
| NPI Number | 1982932265 | 
|---|---|
| Provider Enumeration Date | 11/25/2009 | 
| Last Update Date | 11/25/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982932265 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1222 (Wyoming) | Primary |