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Organization

WILLIAMS MOBILE DENTAL HYGIENE

Active
Other names
Motor Mouth
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEATHER LYNETTE WILLIAMS RDH (OWNER/OPERATOR)
(719) 648-9102
Entity
Organization

Contact information

Practice address
6975 HOLT DR, COLORADO SPRINGS, CO 80922-1608
(719) 648-9102
(719) 358-6009
Mailing address
6975 HOLT DR, COLORADO SPRINGS, CO 80922-1608
(719) 648-9102
(719) 358-6009

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH-905614
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598070997
INDIVIDUAL NPI
CO
Enumeration date
11/04/2011
Last updated
11/04/2011
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