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ASHLEY LISONBEE RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1407253271

Individual Registrant:
 ASHLEY  LISONBEE RDH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
620 S ALBERT AVE  WALSENBURG, CO 81089-2240 US
Tel: 719-738-6446  Fax: --

Contact information for business:
620 S ALBERT AVE  WALSENBURG, CO 81089-2240 US
Tel: 719-738-6446  Fax: --

Registration Information:
NPI: 1407253271
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CODH.002023962

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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