Individual
OLGA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8422 W 78TH CIR, ARVADA, CO 80005-4407
(303) 506-4698
Mailing address
8422 W 78TH CIR, ARVADA, CO 80005-4407
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904249
CO
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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