| Rebecca Cloetta Dds Pc | |
|
1315 S Hwy 89 Ste 102 Jackson WY 83001 | |
| (307) 733-4122 | |
| (307) 733-4164 |
| Full Name | Rebecca Cloetta Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1315 S Hwy 89, Jackson, Wyoming |
| Authorized Official Name and Position | Rebecca E Cloetta (DR.) |
| Authorized Official Contact | 3077334122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Cloetta Dds Pc Po Box 11570 Jackson WY 83002-1570 Ph: (307) 733-4122 | Rebecca Cloetta Dds Pc 1315 S Hwy 89 Ste 102 Jackson WY 83001 Ph: (307) 733-4122 |
| NPI Number | 1629097282 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629097282 | NPI | - | NPPES |
| 1227807 00 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1009 (Wyoming) | Primary |
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