Mary Joann Panem Leclaire R.D.H., M.S.

NPI 1033411335 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1033411335
Gender Female
Enumeration Date 11/19/2010
Last Updated 11/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
13065 E 17TH AVE
MAIL STOP F834
AURORA CO, 80045-2532, US
Phone (303) 724-7037
Fax (303) 724-7066
Business Location
13065 E 17TH AVE
MAIL STOP F834
AURORA CO, 80045-2532, US
Phone (303) 724-7037
Fax (303) 724-7066
Toxanomy
Taxonomy Code 124Q00000X
License State Colorado
License Number 2475
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According to our database, Prof. Mary Joann Panem Leclaire R.D.H., M.S. NPI is 1033411335, taxonomy code is 124Q00000X and license number is 2475, license state is located at Colorado. Mary Joann Panem Leclaire R.D.H., M.S. physically located at 13065 E 17th Ave, Aurora CO, 80045-2532. NPI Number Mary Joann Panem Leclaire R.D.H., M.S. has the Individual type.

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1033411335 NPI number is provided on an as is basis without warranty of any kind. 1033411335 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Joann Panem Leclaire R.D.H., M.S. are for informational purposes only.