Individual
SHANNON GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2350 17TH AVE STE 205, LONGMONT, CO 80503-1738
(720) 526-8876
Mailing address
2350 17TH AVE STE 205, LONGMONT, CO 80503-1738
(720) 526-8876
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905153
CO
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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