Brighter Image Dental Hygiene Spa, LLC

NPI #1841545571 in Crested Butte, Colorado

Provider Information

NPI Number: 1841545571
Entity Type: Organization
Organization Name: Brighter Image Dental Hygiene Spa, LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 18, 2012
Last Updated: Jul 18, 2012

Practice Location

Address: 115 ELK AVE. SUITE C
Address 2: SUITE 1442
City: Crested Butte
State: Colorado
ZIP Code: 81224-1442
Phone: (970) 275-5000

Authorized Official

Name: MRS. PATRICIA KUBISIAK
Title: RDH, OWNER
Phone: (970) 275-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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MRS. Edith S Gibson, RDH	Dental Hygienist	Crested Butte	AI Deep Dive
Sunni Hamilton	Dental Hygienist	Crested Butte	AI Deep Dive
MS. Tammy Lark Honold, RDH	Dental Hygienist	Ignacio	AI Deep Dive
Nicole Danielle Weaver, RDH	Dental Hygienist	Denver	AI Deep Dive

Organizations

Provider Name	Specialty	City
R S K LLC	Dental Hygienist	Crested Butte	AI Deep Dive

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