SARA DAWN THOMAS STEDDUM

FORT CARSON, CO
NPI1184400079
Former NameSARA DAWN THOMAS FRIAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  DH.002026628)
Additional Taxonomies124Q00000X Dental Hygienist
(Licence: MT  DEN-RDH-LIC-5934)
124Q00000X Dental Hygienist
(Licence: AZ  H05213)
Enumeration Date2023-09-06
Last Update Date2023-09-07
Business Address
SARA DAWN THOMAS STEDDUM RDH
1667 COCHRANE CIR
FORT CARSON, CO 80913-4603
Phone number: 719-526-2006
Mailing Address
SARA DAWN THOMAS STEDDUM RDH
10975 MATTA DR
COLORADO SPRINGS, CO 80925-9628
Phone number: 406-471-0122