Provider Demographics
NPI:1558584367
Name:SANCHEZ, BARBARA LEE (RDH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3131
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-3131
Mailing Address - Country:US
Mailing Address - Phone:907-731-2407
Mailing Address - Fax:
Practice Address - Street 1:190 TALISMAN DR
Practice Address - Street 2:STE.C-2
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-9171
Practice Address - Country:US
Practice Address - Phone:907-731-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO903430124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist