Organization
LUXURY TOOTH BOOTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH J. TANNER RDH, BSDH (CEO)
(720) 427-7001
Entity
Organization
Contact information
Practice address
1190 EVERETT CT, LAKEWOOD, CO 80215-4829
(720) 427-7001
Mailing address
1190 EVERETT CT, LAKEWOOD, CO 80215-4829
(720) 427-7001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
962028464
—
CO
Enumeration date
09/01/2020
Last updated
09/01/2020
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