Organization
KANTOR DENTAL GROUP 2, PLLC
Active
Other names
Glacier Peak Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC APPELSIES (PRESIDENT)
(317) 270-0903
Entity
Organization
Contact information
Practice address
11979 HOLLY ST, THORNTON, CO 80233
(720) 739-0047
Mailing address
10723 FAIRGROVE CT, HIGHLANDS RANCH, CO 80126-5749
(317) 270-0903
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
09/05/2019
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