Individual
JESSICA LUREE KLABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
21 KINGS CROSSING, STE 107, WINTER PARK, CO 80482-1266
(970) 726-5556
Mailing address
PO BOX 1266, WINTER PARK, CO 80482-1266
(970) 726-5556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10756
CO
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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