Individual
DENISE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4716
(970) 625-5200
Mailing address
PO BOX 5800, EAGLE, CO 81631-5800
(774) 259-4166
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000904900
CO
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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