Provider Demographics
NPI:1326937798
Name:LOZANO, BIANCA LILIA (RDH)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:LILIA
Last Name:LOZANO
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 1:14 SUMMIT PL
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1305
Mailing Address - Country:US
Mailing Address - Phone:917-783-1132
Mailing Address - Fax:
Practice Address - Street 1:14 SUMMIT PL
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1305
Practice Address - Country:US
Practice Address - Phone:917-783-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030920124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist