Individual
MS. ELLEN E ZANICHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH., BS
Contact information
Practice address
3092 EVERGREEN PKWY, SUITE 202, EVERGREEN, CO 80439-7849
(303) 674-1373
Mailing address
29499 BUCHANAN DR, EVERGREEN, CO 80439-8521
(303) 842-3609
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HD201762
CO
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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