Individual
SHANNON ROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1512 N UNION BLVD, STE101, COLORADO SPRINGS, CO 80909-2884
(719) 633-2266
Mailing address
1512 N UNION BLVD, STE101, COLORADO SPRINGS, CO 80909-2884
(719) 633-2266
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000904276
CO
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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