Individual
KELLI YANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
195 W. 14TH ST., RIFLE, CO 81650
(970) 625-5200
Mailing address
107 LAKESIDE CT, BASALT, CO 81621-9321
(970) 376-7786
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002023795
CO
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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