Organization
IMPRESSIONS DENTAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ANGELL RDH (OWNER, RDH)
(720) 663-0116
Entity
Organization
Contact information
Practice address
191 UNIVERSITY BLVD # 522, DENVER, CO 80206-4613
(720) 663-0166
Mailing address
191 UNIVERSITY BLVD # 522, DENVER, CO 80206-4613
(720) 663-0116
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905564
CO
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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