Individual
MRS. MIRANDA HALCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1550 MAIN ST, WINDSOR, CO 80550-7915
(970) 686-6661
Mailing address
10438 N COUNTY ROAD 17, FORT COLLINS, CO 80524-8785
(970) 629-9728
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906303
CO
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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