Individual
SHANNON ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4716
(970) 625-5200
Mailing address
157 CURRENT DR, NEW CASTLE, CO 81647-9901
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002025130
CO
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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