| 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 |