Organization
CIMARRON DENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA G LAMPRECHT RDH (OWNER/DENTAL HYGIENIST)
(970) 393-0253
Entity
Organization
Contact information
Practice address
65700 LITTLE WAY, MONTROSE, CO 81401-8385
(970) 393-0253
Mailing address
65700 LITTLE WAY, MONTROSE, CO 81401-8385
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000904292
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72358556
—
CO
Enumeration date
07/25/2016
Last updated
07/25/2016
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