Individual
KELSEY CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1160 W ASH ST, WINDSOR, CO 80550-4666
(970) 686-1186
Mailing address
7026 SCULPIN CT, FORT COLLINS, CO 80526-9621
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024602
CO
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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