TINA GODISAK

TELLURIDE, CO
NPI1316374200
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  904579)
Enumeration Date2013-10-09
Last Update Date2013-10-09
Business Address
-- TINA GODISAK RDH
220 E COLORADO AVE STE 106
TELLURIDE, CO 81435
Phone number: 719-480-3822
Mailing Address
-- TINA GODISAK RDH
PO BOX 4222
TELLURIDE, CO 81435
Phone number: 719-480-3822
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