South Routt Dental Hygiene LLC

NPI #1659515278 in Oak Creek, Colorado

Provider Information

NPI Number: 1659515278
Entity Type: Organization
Organization Name: South Routt Dental Hygiene LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 27, 2009
Last Updated: Apr 27, 2009

Practice Location

Address: 300 MAIN STREET
City: Oak Creek
State: Colorado
ZIP Code: 80467
Phone: (970) 819-9709

Authorized Official

Name: ANGELINA MARIE HENRY, RDH
Title: MEMBER
Phone: (619) 370-5956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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