Individual
DR. WYETH LEE HOOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10TH MDG, 4102 PINION DRIVE, USAF ACADEMY, CO 80840-2502
(719) 333-5025
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 671-7990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2009013219
MO
1223G0001X
General Practice Dentistry
Primary
2009013219
MO
Other
Enumeration date
06/09/2009
Last updated
08/01/2022
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