Rocky Mountain Family Dental

NPI #1629483813 in Cody, Wyoming

Provider Information

NPI Number: 1629483813
Entity Type: Organization
Organization Name: Rocky Mountain Family Dental
Primary Specialty: Dentist
Enumeration Date: Jun 25, 2014
Last Updated: Jul 1, 2014

Practice Location

Address: 956 12TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3602
Phone: (307) 587-5588

Authorized Official

Name: DR. LACI DAWN RECTOR, DDS,PC
Title: DENTIST
Phone: (307) 587-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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