Individual
GINA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 697-2583
Mailing address
220 E ROGERS RD, LONGMONT, CO 80501-6027
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2024436
CO
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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