Ignacio Dental Hygiene

NPI #1457774168 in Ignacio, Colorado

Provider Information

NPI Number
1457774168
Entity Type
Organization
Organization Name
Ignacio Dental Hygiene
Primary Specialty
Dental Hygienist
Enumeration Date
Jan 31, 2014
Last Updated
Jul 17, 2020

Practice Location

Address
610 GODDARD
ZIP Code
81137-0785
Phone
(970) 563-0373

Authorized Official

Name
MISS ENA MARIE MILLICH, R.D. H.
Title
OWNER
Phone
(970) 563-0373

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization
Dental Hygienist

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