MENDEE WACKER

LONGMONT, CO
NPI1821482167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  2023626)
Enumeration Date2015-03-25
Last Update Date2015-03-25
Business Address
MENDEE WACKER RDH, BS
1204 ATWOOD ST
LONGMONT, CO 80501-3421
Phone number: 970-215-7884
Mailing Address
MENDEE WACKER RDH, BS
1204 ATWOOD ST
LONGMONT, CO 80501-3421
Phone number: 970-215-7884
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