| NPI | 1831581024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN BORIA Dental Hygienist 719-221-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH000201412) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |