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CONNIE KEISER RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1124297510

Individual Registrant:
 CONNIE  KEISER RDH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
220 S WORTH STREET  CENTER, CO 81125 US
Tel: 719-754-3584  Fax: 719-754-2470

Contact information for business:
128 MARKET ST  ALAMOSA, CO 81101-2290 US
Tel: 719-589-5161  Fax: 719-589-5722

Registration Information:
NPI: 1124297510
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CO904401

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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