Individual
CASSANDRA HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 WARREN AVE, CHEYENNE, WY 82001-4538
(307) 632-0565
Mailing address
1716 WARREN AVE, CHEYENNE, WY 82001-4538
(307) 632-0565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1582
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/09/2020
Last updated
08/30/2021
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