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Organization
REBECCA CLOETTA DDS PC
Active
Organization
REBECCA CLOETTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA E CLOETTA DDS (DR.)
(307) 733-4122
Entity
Organization
Contact information
Practice address
1315 S HWY 89, STE 102, JACKSON, WY 83001
(307) 733-4122
(307) 733-4164
Mailing address
PO BOX 11570, JACKSON, WY 83002-1570
(307) 733-4122
(307) 733-4164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1009
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1227807 00
—
WY
Enumeration date
07/18/2006
Last updated
01/19/2016
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