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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNMARIE CHADDIC RDH (REGISTERED DENTAL HYGIENIST)
(720) 592-6895
Entity
Organization

Contact information

Practice address
1361 FRANCIS STREET, SUITE 202 UNIT D, LONGMONT, CO 80501
(720) 592-6895
Mailing address
1361 FRANCIS STREET, SUITE 202 UNIT D, LONGMONT, CO 80501
(720) 592-6895

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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