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Organization
DENTAL CARE OF FREMONT COUNTY
Active
Organization
DENTAL CARE OF FREMONT COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EUGENE HAUCK DDS (DENTIST)
(307) 856-3463
Entity
Organization
Contact information
Practice address
1224 E JACKSON AVE, RIVERTON, WY 82501-3841
(307) 856-3463
(307) 856-9910
Mailing address
1224 E JACKSON AVE, RIVERTON, WY 82501-3841
(307) 856-3463
(307) 856-9910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1094
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118488100
—
WY
Enumeration date
02/12/2009
Last updated
02/12/2009
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