Individual
LAUREL ANN HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4716
(707) 477-9159
Mailing address
195 W. 14TH STREET, RIFLE, CO 81650
(707) 477-9159
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000002391
CO
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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