Organization
CZECH UP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE BARBARA LAURENT RDH (CEO,BUS.ADMIN.,DENTAL HYGIENIST)
(970) 445-8713
Entity
Organization
Contact information
Practice address
1480 W 8TH ST UNIT 13, ALAMOSA, CO 81101-3027
(970) 445-8713
Mailing address
1480 W 8TH ST UNIT 13, ALAMOSA, CO 81101-3027
(970) 445-8713
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905139
CO
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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