NPI | 1306265814 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL REDMOND Dental Hygienist/Owner 970-214-8420 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 904737) |
Enumeration Date | 2014-04-11 |
Last Update Date | 2016-05-04 |