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Organization
HART DENTAL HYGIENE, PLLC
Active
Organization
HART DENTAL HYGIENE, PLLC
Active
Parent organization
D.I.C.E. GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
D.I.C.E. GROUP, LLC
Authorized official
REBECCA HART (OWNER/OPERATIONS MANAGER)
(719) 582-5957
Entity
Organization
Contact information
Practice address
1401 N ELIZABETH ST STE A, PUEBLO, CO 81003-2159
(719) 582-4741
(719) 582-4742
Mailing address
1401 N ELIZABETH ST STE A, PUEBLO, CO 81003-2159
(719) 582-4741
(719) 582-4742
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/21/2024
Last updated
12/02/2024
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