Individual
SHANAY MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-1977
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-1977
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002026873
CO
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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