Individual
KYLEE MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4716
(970) 625-5200
Mailing address
PO BOX 1665, GYPSUM, CO 81637-1665
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024450
CO
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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