Individual
MARIAH O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
Mailing address
1530 WILDFLOWER CT, BRIGHTON, CO 80601-6794
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CO
Other
Enumeration date
01/30/2018
Last updated
06/08/2020
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