Individual
AMY MICHELLE DESTAFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H., B.S.
Contact information
Practice address
2530 S PARKER RD, SUITE 202, AURORA, CO 80014-1623
(303) 750-2290
Mailing address
351 S DOWNING ST, DENVER, CO 80209-2466
(303) 877-6308
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000903877
CO
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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