Individual provider · NPI-1
Mary Powell Vigil, RDH
Dental Hygienist · Delta, CO
NPI number1376618025
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376618025
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Powell Vigil
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 904294 | CO | Yes |
Other names
- Mary Vigil (Professional Name)
Practice location
494 Highway 92Delta, CO 81416-3441
Phone 970-874-3801 · Fax 970-874-3807
Mailing address
494 Highway 92Delta, CO 81416-3441
Phone 970-874-3801 · Fax 970-874-3807
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