Individual
DAYLENE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 US HIGHWAY 24 N, BUENA VISTA, CO 81211-9863
(719) 395-8610
(719) 395-5745
Mailing address
707 US HIGHWAY 24 N, BUENA VISTA, CO 81211-9863
(719) 395-8610
(719) 395-5745
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905555
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905555
LICENSURE
CO
Enumeration date
03/28/2022
Last updated
03/28/2022
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