Individual
DR. ALEC KARL SIDEHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 ERIE PKWY, ERIE, CO 80516-5435
(303) 953-0530
Mailing address
2512 OLD FRANKSTOWN RD, HOLLIDAYSBURG, PA 16648-7167
(814) 931-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205701
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
06/26/2023
Last updated
06/27/2023
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