Quezada, Tanya Renee

Quezada, Tanya Renee is an individual health care provider with primary practice located at 1631 Wetzel Ave Bldg 815 , Fort Carson CO 80913-4095. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Quezada, Tanya Renee can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
1631 Wetzel Ave Bldg 815 Fort Carson CO 80913-4095
Phone: (719) 526-5537
Fax: (719) 524-2843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1932636404
LBN Legal business name Quezada, Tanya Renee
Credentials DENTAL ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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