Individual
KHIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RDH, BS
Contact information
Practice address
5400 IDYLWILD TRL UNIT B, BOULDER, CO 80301-3816
(720) 378-6615
Mailing address
5464 MESA TOP CT, BOULDER, CO 80301-3545
(303) 815-4404
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000903882
CO
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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