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NPI Code Detail

MEDICARE: BARBARA LEE SANCHEZ RDH

MEDICARE:   BARBARA LEE SANCHEZ  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist903430CO

General Provider Information

NPI Number : 1558584367
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA LEE SANCHEZ RDH
Provider Business Mailing Address
First Line : PO BOX 3131
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-3131
Country : US
Telephone Number : 907-731-2407
Fax Number :
Provider Business Practice Location Address
First Line : 190 TALISMAN DR
Second Line : STE.C-2
City : PAGOSA SPRINGS
State : CO
Zip : 81147-9171
Country : US
Telephone Number : 907-731-2407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ BARBARA LEE SANCHEZ RDH” Practice Location

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