Aspen Ridge Dental LLC

NPI #1649528456 in Casper, Wyoming

Provider Information

NPI Number
1649528456
Entity Type
Organization
Organization Name
Aspen Ridge Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 28, 2012
Last Updated
Aug 28, 2012

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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