# EXCELLENCE IN DENTISTRY OF ERIE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Impressions Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366784332
- **Authorized official:** MRS. KIMBERLY MCCLESKEY (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (303) 828-9998

## Contact information

- **Practice address:** 615 MITCHELL WAY STE 104, ERIE, CO 80516-5438
- **Practice address phone:** (303) 828-9998
- **Mailing address:** 615 MITCHELL WAY STE 104, ERIE, CO 80516-5438
- **Mailing address phone:** (303) 828-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10729 | CO | Yes |

## Other

- **Enumeration date:** 03/18/2013
- **Last updated:** 03/18/2013