Individual
DORI MARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6430 BROOK PARK DR, SUITE 100, COLORADO SPRINGS, CO 80918-1432
(719) 268-9777
Mailing address
1758 CHAUTAUQUA DR, COLORADO SPRINGS, CO 80915-1877
(719) 641-4747
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000904260
CO
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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