Organization
GERIATRIC DENTAL HYGIENE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA MARIE JIANNETTI RDH (OWNER)
(303) 422-3175
Entity
Organization
Contact information
Practice address
11577 W 38TH PL, WHEAT RIDGE, CO 80033-3803
(303) 422-3175
(303) 940-4911
Mailing address
11577 W 38TH PL, WHEAT RIDGE, CO 80033-3803
(303) 422-3175
(303) 940-4911
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
201274
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649417247
PROVIDER NPI NUMBER
CO
Enumeration date
05/21/2014
Last updated
05/21/2014
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