Individual
MS. LINDA SUE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1631 WETZEL AVE BLDG 815, FORT CARSON, CO 80913-4095
(719) 526-5537
Mailing address
1631 WETZEL AVE BLDG 815, FORT CARSON, CO 80913-4095
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024387
CO
124Q00000X
Dental Hygienist
LOCAL.0001035
CO
124Q00000X
Dental Hygienist
RDH3904
ME
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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