| NPI | 1801283106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARGUERITE HUBBARD Rdh 970-301-1363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 905326) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |