Individual
MISS EDITH COLETTE WESTSTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20 PIONEER AVE, DURANGO, CO 81301-8009
(970) 259-0600
Mailing address
175 METZ LN APT 304, DURANGO, CO 81301-7828
(505) 402-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2017017285
MO
1223P0221X
Pediatric Dentistry
Primary
00204997
CO
124Q00000X
Dental Hygienist
DH3361
NM
Other
Enumeration date
07/26/2012
Last updated
06/15/2022
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