Tina Godisak, RDH

NPI #1316374200 in Telluride, Colorado

Provider Information

NPI Number: 1316374200
Entity Type: Individual
Name: Tina Godisak, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 9, 2013
Last Updated: Oct 9, 2013

Practice Location

Address: 220 E COLORADO AVE STE 106
City: Telluride
State: Colorado
ZIP Code: 81435
Phone: (719) 480-3822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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