Aspen Ridge Dental

NPI #1518185099 in Casper, Wyoming

Provider Information

NPI Number: 1518185099
Entity Type: Organization
Organization Name: Aspen Ridge Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1122 S CONWELL ST
City: Casper
State: Wyoming
ZIP Code: 82601-3965
Phone: (307) 234-6054

Authorized Official

Name: CLIS A ADAMS
Title: OFFICE MANAGER
Phone: (307) 234-6054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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