Individual
KRISTINA LIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2223 PRAIRIE CENTER PKWY, SUITE C, BRIGHTON, CO 80601-7007
(303) 654-3430
Mailing address
12150 WASHINGTON CENTER PKWY, #3-202, THORNTON, CO 80241-3149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905361
CO
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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