Organization
DENTAL HYGIENE FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL REDMOND RDH (DENTAL HYGIENIST/OWNER)
(970) 214-8420
Entity
Organization
Contact information
Practice address
640 E EISENHOWER BLVD STE 110, LOVELAND, CO 80537-3956
(970) 214-8420
Mailing address
640 E EISENHOWER BLVD STE 110, LOVELAND, CO 80537-3956
(970) 214-8420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904737
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21721271
—
CO
Enumeration date
04/11/2014
Last updated
05/04/2016
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