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Individual

DR. CASSY BARR WIGGINS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
17021 LINCOLN AVE, PARKER, CO 80134-3145
(303) 805-7111
(303) 841-0370
Mailing address
17021 LINCOLN AVE, PARKER, CO 80134-3146
(303) 805-7111
(303) 841-0370

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7432
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
880474
UNITED CONCORDIA
PA
Enumeration date
07/14/2005
Last updated
07/08/2007
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