Organization
OHANA MOBILE DENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PETROVICH (BUSINESS MANAGER)
(808) 349-7654
Entity
Organization
Contact information
Practice address
23205 BAY OAKS AVE, PARKER, CO 80138-5742
(808) 349-7654
Mailing address
PO BOX 161, PARKER, CO 80134-0161
(808) 349-7654
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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