San Juan Dental Hygiene INC

NPI #1184254609 in Montrose, Colorado

Provider Information

NPI Number: 1184254609
Entity Type: Organization
Organization Name: San Juan Dental Hygiene INC
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 226 S NEVADA AVE
City: Montrose
State: Colorado
ZIP Code: 81401-4234
Phone: (405) 760-0100

Authorized Official

Name: SHANNON NEIL, RDH
Title: DENTAL HYGIENIST
Phone: (405) 760-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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