NPI | 1962819383 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY JEAN KEEFFE Regional Oral Health Consultatn 970-309-2064 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH3120) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |