Organization
HIGH MOUNTAIN HYGIENE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA SUE BUTLER-BEARZI RDH (OWNER/SOLE PROPRIETOR)
(719) 836-0967
Entity
Organization
Contact information
Practice address
548 FRONT ST., SUITE C, FAIRPLAY, CO 80440
(719) 836-0967
(719) 836-0967
Mailing address
PO BOX 967, FAIRPLAY, CO 80440-0967
(719) 836-0967
(719) 836-0967
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
200621
CO
Other
Enumeration date
05/01/2013
Last updated
05/03/2013
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