Individual
KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
302 3RD ST SE, SUITE 150, LOVELAND, CO 80537-6419
(970) 461-8942
(970) 292-1538
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4606
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2024127
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024127
—
CO
Enumeration date
08/18/2015
Last updated
01/08/2016
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