Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH000904524 | CO |
N | 124Q00000X | Dental Hygienist | H 02048 | AZ |
N | 124Q00000X | Dental Hygienist | RDH 13909 | CA |
NPI | 1023499316 |
---|---|
Provider Name | Doreen Hopkins Swatloski |
First Address | Littleton, CO 80120-2352 |
Second Address | Littleton, CO 80120-2352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2015 |
Last Update Date | 08/06/2021 |