DR. Leif Andrew Polson, D.D.S
NPI #1790737005 in Thermopolis, Wyoming
Provider Information
- NPI Number
- 1790737005
- Entity Type
- Individual
- Name
- DR. Leif Andrew Polson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- May 16, 2006
- Last Updated
- Aug 20, 2014
Practice Location
- Address
- 110 E ARAPAHOE ST
- City
- Thermopolis
- State
- Wyoming
- ZIP Code
- 82443-2402
- Phone
- (307) 864-9411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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