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ANA ANDRICK RDH
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1578966149
Individual Registrant: ANA ANDRICK RDH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1715 PRINCESS DR LONGMONT, CO 80501-2039 US
Tel: 303-682-2619 Fax: --
Tel: 303-682-2619 Fax: --
Contact information for business:
877 E SOUTH BOULDER RD LOUISVILLE, CO 80027-1345 US
Tel: 303-665-8228 Fax: --
Tel: 303-665-8228 Fax: --
Registration Information:
NPI: 1578966149
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist | CO | 000903513 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
