Individual
LYRA MARIE HENDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 SHAVANO DR UNIT C5, GUNNISON, CO 81230-9378
(970) 648-4317
Mailing address
101 SHAVANO DR UNIT C5, GUNNISON, CO 81230-9378
(970) 648-4317
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906408
CO
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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