Mobile Outreach Alliance

NPI #1265067425 in Arvada, Colorado

Provider Information

NPI Number: 1265067425
Entity Type: Organization
Organization Name: Mobile Outreach Alliance
Primary Specialty: Dental Hygienist
Enumeration Date: Mar 9, 2020
Last Updated: Mar 9, 2020

Practice Location

Address: 8422 W 78TH CIR
City: Arvada
State: Colorado
ZIP Code: 80005-4407
Phone: (303) 506-4698

Authorized Official

Name: OLGA ROMANOVNA KOGAN
Title: CEO
Phone: (303) 506-4698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X
Public Health or Welfare	251K00000X
Dental Hygienist	124Q00000X	Primary

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