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Organization

FRISCO DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOLLY SMITH D.M.D., M.S. (DENTIST/OWNER)
(970) 668-1029
Entity
Organization

Contact information

Practice address
101 EAST MAIN STREET, SUITE108, FRISCO, CO 80443
(970) 668-1029
(970) 668-1072
Mailing address
PO BOX 1919, FRISCO, CO 80443-1919
(970) 668-1029
(970) 668-1072

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00201862
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99705567
CO
Enumeration date
05/16/2014
Last updated
05/16/2014
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