Organization
WP DENTAL LLC
Active
Other names
Winter Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHUA DDS (OWNER)
(970) 726-5556
Entity
Organization
Contact information
Practice address
21 KING'S CROSSING #107, WINTER PARK, CO 80482
(970) 726-5556
Mailing address
PO BOX 1266, WINTER PARK, CO 80482-1266
(970) 726-5556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7287
CO
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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