Individual
ANAI QUEZADA-BENCOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
195 W 14TH STE C, RIFLE, CO 81650-4717
(970) 945-2840
(970) 945-1055
Mailing address
2700 GILSTRAP CT STE 230, GLENWOOD SPRINGS, CO 81601-8735
(970) 945-2840
(970) 945-2893
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024653
CO
Other
Enumeration date
12/13/2016
Last updated
02/11/2020
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