Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DEN00010705 | CO |
NPI | 1093878126 |
---|---|
Provider Name | Dr. Cindy Theresa Hebert |
First Address | Parker, CO 80134-7311 |
Second Address | Parker, CO 80134-7311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 30/09/2015 |