Search › Colorado › 124Q00000X
Jeannette Pak-Fugate, RDH
NPI 1972192664 · on the registry since 2021 · sole proprietor
Practice
- Address
- 8520 Spruce Mountain Rd Ste 110
Larkspur, CO 80118 - Phone
- (303) 981-8249
- Organisation at this address
- Pineland Dental Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado