Individual
KATELYNN POTTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1006 A ST, GREELEY, CO 80631-2021
(970) 352-0048
(970) 352-1120
Mailing address
1006 A ST, GREELEY, CO 80631-2021
(970) 352-0048
(970) 352-1120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2023791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023791
STATE LICENSE
CO
Enumeration date
06/17/2014
Last updated
06/17/2014
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