Organization
SKDENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMMER MARIE KASSMEL DDS (OWNER)
(970) 328-1116
Entity
Organization
Contact information
Practice address
50 BUCK CREEK RD, SUITE 305, AVON, CO 81620
(970) 328-1116
Mailing address
PO BOX 5590, EAGLE, CO 81631-5590
(970) 328-1116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8477
CO
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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