Individual
MRS. BAILEY MARIE PERRICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
513 KIVA RD, COLORADO SPRINGS, CO 80911-1913
(719) 392-5300
(719) 392-1093
Mailing address
513 KIVA RD, COLORADO SPRINGS, CO 80911-1913
(719) 392-5300
(719) 392-1093
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000906094
CO
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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