Organization
KIDS DENTAL HYGIENE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JEAN BORIA RDH (DENTAL HYGIENIST)
(719) 221-5273
Entity
Organization
Contact information
Practice address
28374 COUNTY ROAD 317, BUENA VISTA, CO 81211-9158
(719) 395-9048
(719) 395-9064
Mailing address
PO BOX 4040, BUENA VISTA, CO 81211-4040
(719) 395-9048
(719) 395-9064
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000201412
CO
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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