Basic Information
| Provider Information | |||||||||
| NPI: | 1215266762 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CLAUNCH | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | RDH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1522 E A ST | ||||||||
| Address2: | |||||||||
| City: | CASPER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 826012217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072653622 | ||||||||
| FaxNumber: | 3072653027 | ||||||||
| Practice Location | |||||||||
| Address1: | 1020 S CONWELL ST | ||||||||
| Address2: | |||||||||
| City: | CASPER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 826013921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072653622 | ||||||||
| FaxNumber: | 3072653027 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2009 | ||||||||
| LastUpdateDate: | 12/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 124Q00000X | 987 | WY | Y | Dental Providers | Dental Hygienist |
No ID Information.