Individual
TIFFANY PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 LEETSDALE DR, DENVER, CO 80246-1438
(303) 954-0058
Mailing address
2800 S SYRACUSE WAY APT 2-303, DENVER, CO 80231-4297
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024837
CO
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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