Provider Demographics
NPI:1831118082
Name:PILCH, BARBRO ANNA (DDS)
Entity Type:Individual
Prefix:
First Name:BARBRO
Middle Name:ANNA
Last Name:PILCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MIDLAND AVE
Mailing Address - Street 2:C3
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-8114
Mailing Address - Country:US
Mailing Address - Phone:970-927-5437
Mailing Address - Fax:970-927-0868
Practice Address - Street 1:227 MIDLAND AVE
Practice Address - Street 2:C3
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8114
Practice Address - Country:US
Practice Address - Phone:970-927-5437
Practice Address - Fax:970-927-0868
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8551122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist