Individual
CHELCIE GJELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, CSOM
Contact information
Practice address
9105 KIMMER DR, LONE TREE, CO 80124-8454
(303) 799-9993
Mailing address
10342 ROWLOCK WAY, PARKER, CO 80134-9577
(719) 588-1748
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000906352
CO
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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