Organization
SPARKLING SMILES HYGIENE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA D TAPPERO RDH (OWNER/ HYGIENIST)
(720) 307-3456
Entity
Organization
Contact information
Practice address
3501 S CORONA ST, ENGLEWOOD, CO 80113-3907
(720) 307-3456
Mailing address
3501 S CORONA ST, ENGLEWOOD, CO 80113-3907
(720) 307-3456
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2115
CO
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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