Individual
DR. REBECCA E. CLOETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1315 S HWY 89, SUITE 102, JACKSON, WY 83002-1570
(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
—
122780700
—
WY
Enumeration date
11/07/2012
Last updated
11/08/2012
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