Individual
PROF. MARY JOANN PANEM LECLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H., M.S.
Contact information
Practice address
13065 E 17TH AVE, MAIL STOP F834, AURORA, CO 80045-2532
(303) 724-7037
(303) 724-7066
Mailing address
13065 E 17TH AVE, MAIL STOP F834, AURORA, CO 80045-2532
(303) 724-7037
(303) 724-7066
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2475
CO
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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