Organization
SAN JUAN DENTAL HYGIENE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NEIL RDH (DENTAL HYGIENIST)
(405) 760-0100
Entity
Organization
Contact information
Practice address
226 S NEVADA AVE, MONTROSE, CO 81401-4234
(405) 760-0100
Mailing address
178 VALLEY VIEW RD, RIDGWAY, CO 81432-9322
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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