Individual
STACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1300 E A ST, SUITE 208, CASPER, WY 82601-2260
(307) 265-3622
(307) 265-3027
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6000
(307) 235-6202
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
786
WY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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