Individual
ADRIANNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1361 FRANCIS ST STE 202, LONGMONT, CO 80501-2545
(303) 772-8020
Mailing address
524 FLICKER AVE, LONGMONT, CO 80501-8952
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002025099
CO
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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