Individual
MS. AMY LAURA PELOQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
211 MAIN STREET, UNIT A, ELIZABETH, CO 80107
(303) 653-2095
Mailing address
42048 S PINEHURST CIR, ELIZABETH, CO 80107-9113
(303) 653-2095
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904903
CO
Other
Enumeration date
05/02/2007
Last updated
10/15/2011
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