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Organization

MOUNTAIN DENTAL HYGIENE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAVENS ANN GUENTHNER RDH (DIRECT ACCESS DENTAL HYGIENIST(OWNE)
(303) 523-2851
Entity
Organization

Contact information

Practice address
1840 S WADSWORTH BLVD, LAKEWOOD, CO 80232
(303) 523-2851
(303) 838-9465
Mailing address
PO BOX 75, BAILEY, CO 80421-0075
(303) 523-2851

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
903771
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51056348
CO
Enumeration date
05/23/2007
Last updated
12/22/2021
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