Organization
IN HOME DENTAL OF NORTHERN COLORADO
Active
Other names
In Home Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA F PERCIFIELD RDH (OWNER/OPERATOR)
(970) 686-1183
Entity
Organization
Contact information
Practice address
651 BABINE CT, WINDSOR, CO 80550-3179
(970) 686-1183
(970) 674-8090
Mailing address
651 BABINE CT, WINDSOR, CO 80550-3179
(970) 686-1183
(970) 674-8090
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2023596
CO
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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