Whalio Doctors

NPI 1174110803

Jannelle Lynn Raley, RDH

Practitioner Dental Hygienist Thornton, CO

Practice location

Address
12889 Quebec St, Thornton, CO 80602-9623
Phone
(720) 726-6830
Mailing address
6636 W 95th Pl, Broomfield, CO 80021-6425

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence DH.000905694 (CO)

Registry record

NPI
1174110803
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Dec 2020
Record last updated
29 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.