Individual
KENNETH A HOFFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 N DIVISION ST, POWELL, WY 82435-2207
(307) 754-4554
Mailing address
PO BOX 1024, POWELL, WY 82435-1024
(307) 754-4554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
538
WY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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