Individual
TONI-ANN AYZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
950 BAPTIST RD STE 100, MONUMENT, CO 80132-7711
(719) 481-5807
Mailing address
2522 SHAWNEE DR, COLORADO SPRINGS, CO 80922-3196
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002025583
CO
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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