| NPI | 1780034587 |
|---|---|
| Doing Business As | GRAND MESA DENTAL HYGIENE, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY P VIGIL Owner 970-874-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 904294) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |