Organization
GERALD T MINICK DDS MS PC
Active
Organization
GERALD T MINICK DDS MS PC
Active
Other names
Minick Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD T MINICK D.D,S, M.S. (PRESIDENT)
(303) 627-6212
Entity
Organization
Contact information
Practice address
6020 S GUN CLUB RD UNIT E1, AURORA, CO 80016-5302
(720) 277-5286
Mailing address
6020 S GUN CLUB RD, SUITE E-1, AURORA, CO 80016-5301
(303) 627-6212
(303) 627-1725
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9273
CO
Other
Enumeration date
01/31/2007
Last updated
01/14/2008
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