Provider Demographics
NPI:1790146660
Name:WINDROW, MARIANNE (RDH)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:WINDROW
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7273 S MOUNT HOLY CROSS
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3202
Mailing Address - Country:US
Mailing Address - Phone:720-560-7273
Mailing Address - Fax:
Practice Address - Street 1:4582 S ULSTER ST
Practice Address - Street 2:SUITE 800
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2632
Practice Address - Country:US
Practice Address - Phone:303-889-8667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2615124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist