Individual
MRS. SAMANTHA LEEANN GERARD
Active
Sole proprietor
Yes
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 STREET, GARFIELD PUBLIC HEALTH, RIFLE, CO 81650
(970) 625-5200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04540290
—
CO
Enumeration date
04/21/2014
Last updated
04/21/2014
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