Mondragon, Patricia A

Mondragon, Patricia A is an individual health care provider with primary practice located at 2828 International Cir Suite 100, Colorado Springs CO 80910-3127. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mondragon, Patricia A can be contacted via phone (719) 632-5700.

Contact Information

Primary practice address
2828 International Cir Suite 100 Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 904609 Colorado

Profile Details

NPI number 1770793952
LBN Legal business name Mondragon, Patricia A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770793952 NPPES
Colorado MEDICAID 51931826

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