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CYNTHIA LYNN PACKARD RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1679105357

Individual Registrant:
 CYNTHIA LYNN PACKARD RDH
Gender: F
Sole Proprietor

Location and contact information for practice:
900 CHURCH ST  SPRINGFIELD, CO 81073-1636 US
Tel: 719-529-9811  Fax: --

Contact information for business:
PO BOX 193  WALSH, CO 81090-0193 US
Tel: 719-529-9811  Fax: --

Registration Information:
NPI: 1679105357
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CO202013

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
202013DHCO05




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