| NPI | 1659744589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA KOGAN Registered Dental Hygienist 303-506-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 000904249) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |