| NPI | 1053700518 |
|---|---|
| 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 |