NPI | 1053700518 |
---|---|
Doing Business As | WORTHMORE CLINIC |
Entity Type | Organization |
Authorized Contact | CAROLYN ANELLO Dental Program Director 720-460-0995 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH000200211) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2020-10-28 |