Organization
RESNICK ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BRUCE RESNICK D.D.S. M. SC.D. (OWNER/ORTHODONTIST)
(970) 945-8525
Entity
Organization
Contact information
Practice address
51241 HIGHWAY 6 AND 24 STE 3, GLENWOOD SPRINGS, CO 81601-2577
(970) 945-8525
(970) 928-0921
Mailing address
51241 HIGHWAY 6 AND 24 STE 3, GLENWOOD SPRINGS, CO 81601-2577
(970) 945-8525
(970) 928-0921
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106353
CO
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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