Individual
MS. TAMMY LARK HONOLD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
123 HWY 172, IGNACIO, CO 81137
(970) 563-4581
(970) 563-0206
Mailing address
680 SAGEWOOD DR, IGNACIO, CO 81137-9100
(970) 563-4581
(970) 563-0206
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
201905
CO
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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