Individual
KASSIDEE N FICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6671 HIGHWAY 36, JOES, CO 80822
(970) 630-4226
Mailing address
7525 COUNTY ROAD M, KIRK, CO 80824-9759
(970) 630-4226
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906449
CO
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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