Individual
TAWNY RENEE VERVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N 10TH ST, CANON CITY, CO 81212-3457
(719) 599-0500
Mailing address
320 E FONTANERO ST STE 200, COLORADO SPRINGS, CO 80907-7525
(719) 599-0500
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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