Individual
DR. CASSANDRA LYNN WIECZERZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9625 PROMINENT PT STE 100, COLORADO SPRINGS, CO 80924-5005
(719) 666-3579
Mailing address
9625 PROMINENT PT STE 100, COLORADO SPRINGS, CO 80924-5005
(719) 495-5748
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901600750
MI
Other
Enumeration date
07/21/2016
Last updated
06/24/2023
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