Stacy Smith, R.D.H.

NPI #1619094323 in Casper, Wyoming

Provider Information

NPI Number: 1619094323
Entity Type: Individual
Name: Stacy Smith, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1300 E A ST
Address 2: SUITE 208
City: Casper
State: Wyoming
ZIP Code: 82601-2260
Phone: (307) 265-3622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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