Individual
DR. HARRY PAUL FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1200 E 19TH ST, CHEYENNE, WY 82001-4824
(307) 632-3895
(307) 635-3417
Mailing address
1200 E 19TH ST, CHEYENNE, WY 82001-4824
(307) 632-3895
(307) 635-3417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
551
WY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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