Individual
MRS. LYNN M BRGOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
11485 HIGHWAY 65, ECKERT, CO 81418-5213
(970) 835-8500
Mailing address
10266 3300 RD, HOTCHKISS, CO 81419-6715
(970) 872-4110
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HD201284
CO
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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