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NPI Code Detail

MEDICARE: GRETEL RITCH RDH

MEDICARE:   GRETEL  RITCH  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistDH02023610CO

General Provider Information

NPI Number : 1568833556
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETEL RITCH RDH
Provider Business Mailing Address
First Line : 3525 W OXFORD AVE # G3
Second Line :
City : DENVER
State : CO
Zip : 80236-3106
Country : US
Telephone Number : 303-797-4260
Fax Number : 303-797-4266
Provider Business Practice Location Address
First Line : 6327 DEWSBURY DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3132
Country : US
Telephone Number : 720-470-1707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2015
Last Update Date : 04/27/2024

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