Individual
ALANE MARIE EISENBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 E MAIN ST, BUENA VISTA, CO 81211
(720) 933-4356
Mailing address
PO BOX 4044, BUENA VISTA, CO 81211-4044
(720) 933-4356
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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