Individual
CARA RECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
37 JEFFERSON DR, CLANCY, MT 59634-9736
(406) 539-0894
Mailing address
37 JEFFERSON DR, CLANCY, MT 59634-9736
(406) 539-0894
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4172
MT
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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