| NPI | 1891167656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE JEAN MCMAHAN Dental Hygienist 303-588-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 202280) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |