Individual
MS. PATRICIA A MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2828 INTERNATIONAL CIR, SUITE 100, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5147
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904609
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51931826
—
CO
Enumeration date
05/23/2007
Last updated
04/04/2017
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