Individual
MRS. ELIZABETH ANN BRERETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
715 CEDAR STREET, BUENA VISTA, CO 81211
(719) 395-2402
Mailing address
29135 COUNTY ROAD 331, BUENA VISTA, CO 81211-8818
(303) 521-8886
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000905496
CO
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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