Individual
KASSIE LYNETTE JANE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6514 S ACADEMY BLVD, COLORADO SPRINGS, CO 80906-8614
(719) 387-4385
Mailing address
6514 S ACADEMY BLVD, COLORADO SPRINGS, CO 80906-8614
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024281
CO
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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