Salida Dental Hygiene PC

NPI #1720448921 in Salida, Colorado

Provider Information

NPI Number: 1720448921
Entity Type: Organization
Organization Name: Salida Dental Hygiene PC
Primary Specialty: Dental Hygienist
Enumeration Date: Mar 1, 2016
Last Updated: Mar 1, 2016

Practice Location

Address: 124 E 4TH ST
City: Salida
State: Colorado
ZIP Code: 81201-2616
Phone: (719) 539-2224

Authorized Official

Name: MS. MARIANNE STEIN WANCURA, RDH
Title: OWNER
Phone: (719) 539-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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