| 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 |