Susan Shada Rdh, LLC

NPI #1598906125 in Thornton, Colorado

Provider Information

NPI Number: 1598906125
Entity Type: Organization
Organization Name: Susan Shada Rdh, LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Mar 11, 2009
Last Updated: Mar 11, 2009

Practice Location

Address: 9197 GRANT ST
City: Thornton
State: Colorado
ZIP Code: 80229-4361
Phone: (303) 358-6092

Authorized Official

Name: MS. SUSAN MARIE SHADA, RDH
Title: OWNER
Phone: (303) 358-6092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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