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Kathryn L Cordova, RDH

Dental Hygienist in Greeley, CO. Individual provider (NPI-1).

NPI number1982121497
StatusActive
Last updated in NPPESSep 5, 2017

Details

NPI
1982121497
Entity type
Individual (NPI-1)
Name
Kathryn L Cordova
Credential
RDH
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2017
Last updated
Sep 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist903854COYes

Practice location

1006 A St
Greeley, CO 80631-2021

Phone 970-352-0048 · Fax 970-352-1120

Mailing address

2930 11th Ave
Evans, CO 80620-1011

Phone 970-350-4606 · Fax 970-350-4645

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