Individual
HAVENS ANN GUENTHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
26697 PLEASANT PARK RD, #120, CONIFER, CO 80433-7732
(303) 523-2851
Mailing address
365 IMPALA TRL, BAILEY, CO 80421-2121
(303) 523-2851
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
903771
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05835241
—
CO
Enumeration date
05/23/2007
Last updated
06/25/2008
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