Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8852 | CO |
Y | 1223X0400X | Orthodontists | 8852 | CO |
NPI | 1063488971 |
---|---|
Provider Name | Dr. Erin M Speier |
First Address | Jbsa Lackland, TX 78236-5638 |
Second Address | Jbsa-Lackland, TX 78023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 07/01/2021 |