Individual
MICHELLE CASIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Mailing address
1625 LARIMER ST, DENVER, CO 80202-2329
(303) 909-4104
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905206
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905206
REGISTERED DENTAL HYGIENIST
CO
Enumeration date
07/11/2014
Last updated
05/12/2021
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