Individual
KELLIE VIGOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7368 S HUDSON WAY, CENTENNIAL, CO 80122-2549
(505) 379-0880
Mailing address
7368 S HUDSON WAY, CENTENNIAL, CO 80122-2549
(505) 379-0880
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024458
CO
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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