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Organization
WILLOW CREEK PERFECT TEETH PC
Active
Organization
WILLOW CREEK PERFECT TEETH PC
Active
Other names
Perfect Teeth For Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE BRION-MARTIN (CREDENTIALING MANAGER)
(720) 441-3423
Entity
Organization
Contact information
Practice address
8150 S QUEBEC ST STE C, CENTENNIAL, CO 80112-3186
(720) 728-6530
Mailing address
7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
(720) 441-3423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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