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Organization

CRANIOFACIAL PAIN CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEE ROLLINS (MANAGER)
(303) 758-2980
Entity
Organization

Contact information

Practice address
3540 S POPLAR ST, STE 301, DENVER, CO 80237-1360
(303) 758-4865
(303) 756-8551
Mailing address
3540 S POPLAR ST, STE 301, DENVER, CO 80237-1360
(303) 758-4865
(303) 756-8551

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104945
CO

Other

Enumeration date
01/11/2011
Last updated
10/10/2011
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