In Home Dental of Northern Colorado

NPI #1922405398 in Windsor, Colorado

Provider Information

NPI Number: 1922405398
Entity Type: Organization
Organization Name: In Home Dental of Northern Colorado
Primary Specialty: Dental Hygienist
Enumeration Date: Dec 1, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 651 BABINE CT
City: Windsor
State: Colorado
ZIP Code: 80550-3179
Phone: (970) 686-1183

Authorized Official

Name: MRS. TAMARA F PERCIFIELD, RDH
Title: OWNER/OPERATOR
Phone: (970) 686-1183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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