NPI 1104278407

Kellie Vigoren, RDH

Practitioner Dental Hygienist Centennial, CO

Practice location

Address: 7368 S Hudson Way, Centennial, CO 80122-2549
Phone: (505) 379-0880

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH.002024458 (CO)

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Registry record

NPI: 1104278407
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2016
Record last updated: 11 Jul 2016

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.