Individual
MRS. MARISA LEE CAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BS
Contact information
Practice address
900 W ORMAN AVE, DENTAL HYGIENE PROGRAM, PUEBLO, CO 81004-1430
(719) 549-3269
Mailing address
900 W ORMAN AVE, DENTAL HYGIENE PROGRAM, PUEBLO, CO 81004-1430
(719) 549-3269
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000904870
CO
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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