Whalio Doctors

NPI 1073669073

Marie L Hustafa, RDH

Practitioner Dental Hygienist Durango, CO

Practice location

Address
281 Sawyer Dr, Durango, CO 81303-3409
Phone
(970) 247-5702
Fax
(970) 247-9126
Mailing address
PO Box 140, Durango, CO 81302-0140

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 904555 (CO)

Registry record

NPI
1073669073
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jan 2007
Record last updated
9 Jul 2007

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.