Individual
CLANCY ANN CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS, LAP
Contact information
Practice address
3774 JOELLE DR, HELENA, MT 59602-6102
(406) 431-8854
Mailing address
3774 JOELLE DR, HELENA, MT 59602-6102
(406) 431-8854
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1068
MT
Other
Enumeration date
01/24/2020
Last updated
01/31/2020
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