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Individual

MIRIAM FREIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3759 SWAINSON DR., COLORADO SPRINGS, CO 80922
(910) 568-1072
Mailing address
3759 SWAINSON DR, COLORADO SPRINGS, CO 80922-3181
(910) 568-1072

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024607
CO

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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