Organization
LOVELAND DENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L RISS RDH (OWNER)
(970) 776-0585
Entity
Organization
Contact information
Practice address
373 E 27TH ST, LOVELAND, CO 80538-3203
(970) 776-0585
Mailing address
3280 MADISON AVE, LOVELAND, CO 80538-2827
(970) 776-0585
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000905329
CO
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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