Individual
LESLIE MELODY KORONKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4700
(970) 625-5200
Mailing address
195 W 14TH, RIFLE, CO 81650-4700
(970) 625-5200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905191
CO
Other
Enumeration date
11/14/2011
Last updated
04/27/2017
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