Organization
MOBILE OUTREACH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA ROMANOVNA KOGAN (CEO)
(303) 506-4698
Entity
Organization
Contact information
Practice address
8422 W 78TH CIR, ARVADA, CO 80005-4407
(303) 506-4698
Mailing address
8422 W 78TH CIR, ARVADA, CO 80005-4407
(303) 506-4698
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
124Q00000X
Dental Hygienist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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