Organization
EXCELLENCE IN DENTISTRY OF ERIE
Active
Other names
Impressions Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MCCLESKEY (DIRECTOR OF OPERATIONS)
(303) 828-9998
Entity
Organization
Contact information
Practice address
615 MITCHELL WAY STE 104, ERIE, CO 80516-5438
(303) 828-9998
Mailing address
615 MITCHELL WAY STE 104, ERIE, CO 80516-5438
(303) 828-9998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10729
CO
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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