Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2115 | CO |
NPI | 1073973400 |
---|---|
Provider Name | Ms. Laura Tappero |
First Address | Englewood, CO 80113-3907 |
Second Address | Englewood, CO 80113-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2016 |
Last Update Date | 26/02/2016 |