Organization
PLAINS PERFORMANCE DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE LEE (OWNER)
(303) 622-6200
Entity
Organization
Contact information
Practice address
56620 E COLFAX AVE, STRASBURG, CO 80136-0622
(303) 622-6200
(720) 862-2044
Mailing address
56620 E COLFAX AVE, STRASBURG, CO 80136-0622
(303) 622-6200
(720) 862-2044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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