Individual
MRS. JESSICA NINA DUSSEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 255-1782
Mailing address
202 WHISPER LN, GRAND JUNCTION, CO 81503-6608
(218) 371-9166
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905829
CO
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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