Individual
MRS. MARY SUZANNE HAMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
300 MAIN STREET, OAK CREEK, CO 80467-0008
(970) 736-8118
(970) 736-0678
Mailing address
PO BOX 8, 300 MAIN STREET, OAK CREEK, CO 80467-0008
(970) 736-8118
(970) 736-0678
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000903051
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90402260
—
CO
Enumeration date
06/24/2013
Last updated
06/24/2013
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