Professional Dental Hygiene

NPI #1275857203 in Leadville, Colorado

Provider Information

NPI Number
1275857203
Entity Type
Organization
Organization Name
Professional Dental Hygiene
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 19, 2010
Last Updated
Mar 19, 2010

Practice Location

Address
130 W 5TH ST
Address 2
SUITE 118 AND 121
ZIP Code
80461-3510
Phone
(719) 486-8285

Authorized Official

Name
MELISSA JEAN VILLARREAL
Title
MANAGER
Phone
(719) 486-8285

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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