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Organization
FOUNTAIN DENTAL CENTER P.C.
Active
Organization
FOUNTAIN DENTAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL B SKINNER DDS (OWNER)
(719) 382-5500
Entity
Organization
Contact information
Practice address
8085 FOUNTAIN MESA RD, FOUNTAIN, CO 80817-1591
(719) 382-5500
(719) 382-0944
Mailing address
8085 FOUNTAIN MESA RD, FOUNTAIN, CO 80817-1591
(719) 382-5500
(719) 382-0944
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10691
CO
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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