Individual
MS. KYLEA GINGER RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
430 BIMSON AVE, BERTHOUD, CO 80513
(970) 532-4209
Mailing address
430 BIMSON AVE, BERTOUD, CO 80513
(970) 532-4209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH002023835
CO
Other
Enumeration date
03/07/2018
Last updated
07/21/2022
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