Individual
MRS. MARY CAROL DEMCHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
HARTSHORN HEALTH SERVICE DENTAL, COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-0001
(970) 491-1187
Mailing address
2925 QUERIDA ST, FORT COLLINS, CO 80526-3741
(970) 223-9029
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1860
CO
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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