Laci Rector D.D.S.

NPI 1790191393 - Dentist - 122300000X

NPI Details
NPI 1790191393
Gender Female
Enumeration Date 07/03/2014
Last Updated 07/03/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
946 12TH ST.
CODY WY, 82414, US
Phone (307) 587-5588
Fax (307) 587-7123
Business Location
CODY WY, 82414-4918, US
Phone (307) 586-7244
Taxonomy Code 122300000X
License State Wyoming
License Number 1384
Remove 1790191393 NPI Number

According to our database, Laci Rector D.D.S. NPI is 1790191393, taxonomy code is 122300000X and license number is 1384, license state is located at Wyoming. Laci Rector D.D.S. physically located at 946 12th St., Cody WY, 82414. NPI Number Laci Rector D.D.S. has the Individual type.

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1790191393 NPI number is provided on an as is basis without warranty of any kind. 1790191393 is maintained by the National Plan & Provider Enumeration System. The contents of Laci Rector D.D.S. are for informational purposes only.