KRISS L CHILDRESS

PUEBLO, CO
NPI1881730596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  3009)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Mr. KRISS L CHILDRESS RDH
1407 WEST 29TH ST
PUEBLO, CO 81008
Phone number: 719-546-0404
Mailing Address
Mr. KRISS L CHILDRESS RDH
1407 WEST 29TH ST
PUEBLO, CO 81008
Phone number: 719-546-0404
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