Individual
SHANNON BUNDGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
16205 W 64TH AVE, ARVADA, CO 80007-7401
(303) 940-1910
Mailing address
16205 W 64TH AVE, ARVADA, CO 80007-7401
(303) 940-1910
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002023587
CO
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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