Individual
MRS. JILLIAN LOUISE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3715 BLOOMINGTON ST UNIT 160, COLORADO SPRINGS, CO 80922-3207
(719) 599-0665
Mailing address
7476 LEGEND HILL DR, COLORADO SPRINGS, CO 80923-7411
(580) 512-5888
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906204
CO
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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