Individual provider · Type 1 NPI

Cassandra Lynn Wieczerza, DDS

Student in an Organized Health Care Education/Training Program · Colorado Springs, CO

NPI number 1588017883 Active

Practice location

9625 Prominent Pt Ste 100
Colorado Springs, CO 80924-5005

Call (719) 666-3579 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2901600750 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1588017883

Cassandra Lynn Wieczerza, DDS's National Provider Identifier is 1588017883, issued on Jul 21, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 24, 2023.