Individual
ESTELA LUJAN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 EMMA RD, BASALT, CO 81621-9169
(970) 945-2840
Mailing address
123 EMMA RD, BASALT, CO 81621-9169
(970) 945-2840
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2025588
CO
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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