DR. Paul Alan Axthelm, DDS

NPI #1710980651 in Riverton, Wyoming

Provider Information

NPI Number: 1710980651
Entity Type: Individual
Name: DR. Paul Alan Axthelm, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 24, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 325 W MAIN ST
Address 2: STE A
City: Riverton
State: Wyoming
ZIP Code: 82501-3448
Phone: (307) 856-8197

Specialties & Taxonomy Codes

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

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