Organization
WILLOW CREEK PERFECT TEETH PC
Active
Other names
Perfect Teeth For Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE BRION-MARTIN (CREDENTIALING MANAGER)
(720) 441-3423
Entity
Organization
Contact information
Practice address
8150 S QUEBEC ST STE C, CENTENNIAL, CO 80112-3186
(720) 728-6530
Mailing address
7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
(720) 441-3423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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