Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 905027 | CO |
NPI | 1033346762 |
---|---|
Provider Name | Christine H. Schwartz |
First Address | Vail, CO 81658-5911 |
Second Address | Vail, CO 81657-4960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2009 |
Last Update Date | 21/06/2009 |