NPI 1578784120

Madeleine Beserra, RDH

Practitioner Dental Hygienist Pagosa Springs, CO

Practice location

Address: 101 Pagosa Street, Pagosa Springs, CO 81147
Phone: (970) 264-9436
Fax: (970) 264-9436
Mailing address: Post Office Box 2336, Pagosa Springs, CO 81147-2336

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 903251 (CO)

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Registry record

NPI: 1578784120
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2007
Record last updated: 8 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.