Individual
MARLENE THERESE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
373 E 27TH ST, LOVELAND, CO 80538-3203
(970) 980-1247
Mailing address
1091 NORWAY MAPLE DR, LOVELAND, CO 80538-5608
(970) 980-1247
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
200865
CO
Other
Enumeration date
06/20/2008
Last updated
05/12/2016
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