Individual
TAMMY THI DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11005 RALSTON RD, SUITE 202, ARVADA, CO 80004-4551
(303) 360-6276
(303) 762-6552
Mailing address
11005 RALSTON RD, SUITE 202, ARVADA, CO 80004
(303) 360-6276
(303) 762-6552
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905662
CO
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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