Individual
MISS LACIE OVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
360 PEAK ONE DR # 100, FRISCO, CO 80443-5948
(970) 668-4040
Mailing address
360 PEAK ONE DR # 100, FRISCO, CO 80443-5948
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002025752
CO
124Q00000X
Dental Hygienist
—
CO
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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