Individual
KATILYN ANN OXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
350 LYCKMAN DRIVE, FOUNTAIN, CO 80817
(719) 632-5700
Mailing address
1613 LEXINGTON RD, PUEBLO, CO 81001-2036
(765) 213-9335
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002026772
CO
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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