Individual
PEGGIE D LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4050 SHARILANE ST, STRASBURG, CO 80136-7411
(303) 726-7013
(303) 622-4311
Mailing address
4050 SHARILANE ST, STRASBURG, CO 80136-7411
(303) 726-7013
(303) 622-4311
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904315
CO
Other
Enumeration date
11/11/2006
Last updated
07/08/2007
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