Organization · Type 2 NPI
Professional Dental Hygiene
Dental Clinic/Center · Leadville, CO
NPI number
1275857203
Active
Practice location
130 W 5th St, Suite 118 And 121
Leadville, CO 80461-3510
Mailing address
PO Box 572
Leadville, CO 80461-0572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DH-905202 (CO) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1275857203
Professional Dental Hygiene's National Provider Identifier is 1275857203, issued on Mar 19, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Leadville, CO. The record was last updated on Mar 19, 2010.