# HART DENTAL HYGIENE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** D.I.C.E. GROUP, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518782788
- **Legal business name:** D.I.C.E. GROUP, LLC
- **Authorized official:** REBECCA HART (OWNER/OPERATIONS MANAGER)
- **Authorized official phone:** (719) 582-5957

## Contact information

- **Practice address:** 1401 N ELIZABETH ST STE A, PUEBLO, CO 81003-2159
- **Practice address phone:** (719) 582-4741
- **Practice address fax:** (719) 582-4742
- **Mailing address:** 1401 N ELIZABETH ST STE A, PUEBLO, CO 81003-2159
- **Mailing address phone:** (719) 582-4741
- **Mailing address fax:** (719) 582-4742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2024
- **Last updated:** 12/02/2024