Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH.002024237 | CO |
NPI | 1013417369 |
---|---|
Provider Name | Bianca Metis Saylor |
First Address | Colorado Springs, CO 80921-8434 |
Second Address | Colorado Springs, CO 80909-5316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2018 |
Last Update Date | 13/02/2018 |