Individual
CALEY RICHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1631 WETZEL AVE, BLDG 815, FT CARSON, CO 80913-4095
(719) 526-5537
(719) 524-2843
Mailing address
1631 WETZEL AVE, BLDG 815, FT CARSON, CO 80913-4095
(719) 526-5537
(719) 524-2843
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH0000006687
TN
124Q00000X
Dental Hygienist
Primary
DH002023721
CO
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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