Individual
LIZA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 S GOLFWOOD DR W, PUEBLO WEST, CO 81007-3673
(719) 557-0774
Mailing address
1087 E MARENGO DR, PUEBLO WEST, CO 81007-1259
(956) 367-1433
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002023485
CO
Other
Enumeration date
03/21/2013
Last updated
05/17/2022
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