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Organization

SUMMIT DENTAL HYGIENE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA HELLAND RDH (DENTAL HYGIENIST)
(719) 285-7154
Entity
Organization

Contact information

Practice address
300 W LAKE AVE, WOODLAND PARK, CO 80863-5046
(719) 285-7154
Mailing address
PO BOX 4000, WOODLAND PARK, CO 80866-4000
(719) 285-7154

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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