Individual
MRS. MARY POWELL VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
494 HIGHWAY 92, DELTA, CO 81416-3441
(970) 874-3801
(970) 874-3807
Mailing address
494 HIGHWAY 92, DELTA, CO 81416-3441
(970) 874-3801
(970) 874-3807
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904294
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49732048
—
CO
Enumeration date
11/21/2006
Last updated
07/08/2007
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