Grand Mesa Dental Hygiene, LLC

NPI #1780034587 in Delta, Colorado

Provider Information

NPI Number: 1780034587
Entity Type: Organization
Organization Name: Grand Mesa Dental Hygiene, LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 13, 2016
Last Updated: Jun 13, 2016

Practice Location

Address: 417 MEEKER ST
City: Delta
State: Colorado
ZIP Code: 81416-1918
Phone: (970) 874-3801

Authorized Official

Name: MS. MARY P VIGIL, RDH
Title: OWNER
Phone: (970) 874-3801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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