Organization
LOUISE A MARTIN RDH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE ADRIENNE MARTIN R.D.H (PRESIDENT)
(303) 548-3568
Entity
Organization
Contact information
Practice address
727 SIMMS ST, SUITE E, GOLDEN, CO 80401-4792
(303) 232-3636
Mailing address
11180 W TENNESSEE CRT, LAKEWOOD, CO 80226
(303) 548-3568
(303) 988-5819
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2631
CO
Other
Enumeration date
05/07/2008
Last updated
12/08/2009
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