Individual
KELLY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2998 GINNALA DR, SUITE 101, LOVELAND, CO 80538-7819
(970) 669-1236
(970) 622-8521
Mailing address
2998 GINNALA DR, SUITE 101, LOVELAND, CO 80538-7819
(970) 669-1236
(970) 622-8521
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 002023435
CO
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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