Individual
MITCHYL ELLEN HEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2828 INTERNATIONAL CIR STE 100, COLORADO SPRINGS, CO 80910-3127
(719) 475-0783
Mailing address
2495 WILLOW TREE GRV APT 302, COLORADO SPRINGS, CO 80910-7135
(814) 730-6810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002025741
CO
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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