Pamela Ichiyasu, R. D. H

NPI 1104246875 · on the registry since 2014

Practice

Address: 5031 S Ulster St
Suite 100
Denver, CO 80237
Phone: (303) 779-8587
Fax: (303) 779-9182
Organisation at this address: Bio-Logix Llc
Colorado Dhca , Dtc, Pllc
Community Mobile Dental Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado