| NPI | 1063667061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNETTE LINAE TRUJILLO President 970-275-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 903760) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |