Individual
PAUL LEADHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
4309 S DILLON ST, AURORA, CO 80015-1347
(720) 556-7516
Mailing address
4309 S DILLON ST, AURORA, CO 80015-1347
(720) 556-7516
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000904123
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DH000904123
—
CO
Enumeration date
08/09/2016
Last updated
08/09/2016
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