Individual
JULIA ANN ATENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
350 MCKINLEY, WALDEN, CO 80480
(719) 221-4386
Mailing address
PO BOX 224, WALDEN, CO 80480-0224
(719) 221-4386
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905082
CO
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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