Individual
DR. KATHY EGIPCIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 80914-1541
(719) 556-5633
Mailing address
559 VINCENT ST, PETERSON AFB, CO 80914-1541
(318) 564-8920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12782555-9922
UT
Other
Enumeration date
04/29/2022
Last updated
01/30/2024
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