Organization
JMJ III
Active
Other names
Forest Edge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH G BISHOP (OFFICE MANAGER)
(719) 687-6366
Entity
Organization
Contact information
Practice address
491 FOREST EDGE RD, WOODLAND PARK, CO 80863-2499
(719) 687-6366
(719) 687-6388
Mailing address
491 FOREST EDGE RD, WOODLAND PARK, CO 80863-2499
(719) 687-6366
(719) 687-6388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5676
CO
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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