Provider Demographics
NPI:1528519394
Name:CATLIN, EUGENIA LEE (RDH)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:LEE
Last Name:CATLIN
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 1:154 COLORADO AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3652
Mailing Address - Country:US
Mailing Address - Phone:970-249-1898
Mailing Address - Fax:
Practice Address - Street 1:154 COLORADO AVE STE 201
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3652
Practice Address - Country:US
Practice Address - Phone:970-249-1898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3046124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist