Whalio Doctors

NPI 1124873443

Tara Marie Bonneau, RDHBSMBA

Practitioner Dental Hygienist Greeley, CO

Practice location

Address
1752 28th Ave, Greeley, CO 80634-5715
Phone
(303) 808-7722

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 002024691 (CO)

Registry record

NPI
1124873443
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Apr 2024
Record last updated
19 Apr 2024

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.