Organization
PALMER RIDGE DENTAL AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT PEPPLER (PRESIDENT)
(719) 488-3014
Entity
Organization
Contact information
Practice address
1777 LAKE WOODMOOR DR, MONUMENT, CO 80132-9074
(719) 488-3014
(719) 488-3015
Mailing address
1777 LAKE WOODMOOR DR, MONUMENT, CO 80132-9074
(719) 488-3014
(719) 488-3015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8790
CO
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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