Individual
LAURILYN BALFOUR STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 N MAPLE, CORTEZ, CO 81321
(970) 565-1800
(833) 245-0112
Mailing address
17400 ROAD 27, DOLORES, CO 81323-9238
(307) 689-7810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000001587
CO
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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