Organization
WINDSOR PEDIATRIC DENTISTRY PLLC
Active
Other names
Windsor Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL MACKENZIE SHONKA DDS (OWNER/DOCTOR)
(970) 674-3247
Entity
Organization
Contact information
Practice address
1299 MAIN ST UNIT C, WINDSOR, CO 80550-5918
(970) 674-3247
(970) 460-0865
Mailing address
1576 MAIN STREET, WINDSOR, CO 80550
(970) 674-3247
(970) 460-0865
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10346
CO
Other
Enumeration date
08/12/2011
Last updated
10/21/2024
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