Individual
MRS. TINA LISA RISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3280 MADISON AVE, LOVELAND, CO 80538-2827
(970) 663-0278
Mailing address
3280 MADISON AVE, LOVELAND, CO 80538-2827
(970) 663-0278
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000905329
CO
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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