Individual
KIRSTEN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1100 EAGLERIDGE BLVD, PUEBLO, CO 81008-2103
(719) 545-2468
Mailing address
564 S ALARIC DR, PUEBLO, CO 81007-1539
(719) 947-5072
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024796
CO
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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