Jeannette Pak-Fugate, RDH

NPI #1972192664 in Larkspur, Colorado

Provider Information

NPI Number: 1972192664
Entity Type: Individual
Name: Jeannette Pak-Fugate, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 16, 2021
Last Updated: Jan 16, 2021

Practice Location

Address: 8520 SPRUCE MOUNTAIN RD STE 110
City: Larkspur
State: Colorado
ZIP Code: 80118-1004
Phone: (303) 981-8249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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