SUSAN MARIE SHADA

THORNTON, CO
NPI1629214291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  DH903675)
Enumeration Date2009-01-01
Last Update Date2009-01-01
Business Address
-- SUSAN MARIE SHADA RDH
9197 GRANT ST
THORNTON, CO 80229-4361
Phone number: 303-358-6092
Mailing Address
-- SUSAN MARIE SHADA RDH
11470 PARIS ST
HENDERSON, CO 80640-7614
Phone number: 303-358-6092