NPI | 1538533716 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH SUMMERS Owner/Dental Hygienist 970-773-6969 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 000905841) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2015-11-25 |