Individual
ANA ANDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1715 PRINCESS DR, LONGMONT, CO 80501-2039
(303) 682-2619
Mailing address
877 E SOUTH BOULDER RD, LOUISVILLE, CO 80027-1345
(303) 665-8228
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000903513
CO
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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