| NPI | 1164632907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAVENS ANN GUENTHNER Direct Access Dental Hygienist(Owne 303-523-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 903771) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-12-22 |