Individual
STACY LYNN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, LAP
Contact information
Practice address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 496-6000
(406) 496-6035
Mailing address
1275 WATER LINE RD, BUTTE, MT 59701-7024
(406) 490-7392
(406) 496-6035
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5999
MT
Other
Enumeration date
01/17/2019
Last updated
04/24/2020
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