Individual
ANNETTE G ISENBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
623 4TH ST, STRATTON, CO 80836-1313
(719) 348-5610
Mailing address
623 4TH ST, STRATTON, CO 80836-1313
(719) 348-5610
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2160
CO
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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