Individual
AHREN DANIELLE MOYDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
87 MERCHANT DR # 81401, MONTROSE, CO 81401-3015
(970) 252-8896
Mailing address
539 S 4TH ST, MONTROSE, CO 81401-4218
(303) 619-1566
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0001184
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001184
DORA
CO
Enumeration date
09/06/2018
Last updated
09/06/2018
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