NPI 1407180540

Licensed Dental Hygiene Care

Organisation Voluntary or Charitable Agency Colorado Springs, CO

Practice location

Address: 1436 N. Hancock Ave, Colorado Springs, CO 80903
Phone: (719) 338-2195
Fax: (719) 207-8110

Authorised official

Name: P. Michelle Vacha
Title: Executive Director
Phone: (719) 310-3315

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 20071454175 (CO)

Other Voluntary or Charitable providers in Colorado →

Registry record

NPI: 1407180540
Entity type: Organization
NPI issued: 22 Sep 2009
Record last updated: 1 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.