Individual
ELISE C HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1201 S ELK ST, CASPER, WY 82601-4009
(307) 234-3890
(307) 472-5583
Mailing address
3210 NAVARRE RD, CASPER, WY 82604-4880
(307) 331-0845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1350
WY
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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