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Organization

ROCKY MOUNTAIN FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LACI DAWN RECTOR DDS,PC (DENTIST)
(307) 587-5588
Entity
Organization

Contact information

Practice address
956 12TH ST, CODY, WY 82414-3602
(307) 587-5588
(307) 587-7123
Mailing address
956 12TH ST, CODY, WY 82414-3602
(307) 587-5588
(307) 587-7123

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1384
WY

Other

Enumeration date
06/25/2014
Last updated
07/01/2014
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