Individual
PAMELA D ICHIYASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. D. H.
Contact information
Practice address
5031 S ULSTER ST, SUITE 100, DENVER, CO 80237-2804
(303) 779-8587
(303) 779-9182
Mailing address
1511 BEACON HILL DR, HIGHLANDS RANCH, CO 80126-4268
(303) 378-4977
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906146
CO
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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