Plains Performance Dentistry, PC
Dentist in Strasburg, CO. Organization (NPI-2).
NPI number1003276932
StatusActive
Last updated in NPPESMar 4, 2016
Details
- NPI
- 1003276932
- Entity type
- Organization (NPI-2)
- Legal business name
- Plains Performance Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2016
- Last updated
- Mar 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
56620 E Colfax AveStrasburg, CO 80136-0622
Phone 303-622-6200 · Fax 720-862-2044
Mailing address
56620 E Colfax AveStrasburg, CO 80136-0622
Phone 303-622-6200 · Fax 720-862-2044
Authorized official
Bruce Lee
Owner
3036226200
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