Individual
KATHEREEN MARIE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 PEAK ONE DRIVE, SUITE 100, FRISCO, CO 80443
(970) 668-4040
Mailing address
PO BOX 4337, FRISCO, CO 80443-4337
(970) 668-4040
(970) 668-6699
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024811
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH.002024811
DENTAL HYGIENE LICENSE
CO
Enumeration date
07/28/2017
Last updated
06/11/2019
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