Audrina Busch, RDH
Dental Hygienist in Fort Morgan, CO. Individual provider (NPI-1).
NPI number1174053979
StatusActive
Last updated in NPPESJun 14, 2017
Details
- NPI
- 1174053979
- Entity type
- Individual (NPI-1)
- Name
- Audrina Busch
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2017
- Last updated
- Jun 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH.002024786 | CO | Yes |
Practice location
729 E Railroad AveFort Morgan, CO 80701-3340
Phone 303-697-2583
Mailing address
19443 E 59th AveAurora, CO 80019-2010
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