Organization
SIGNAL TREE FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
4650 SIGNAL TREE DR # A-1800, TIMNATH, CO 80547-4908
(970) 449-0306
Mailing address
4650 SIGNAL TREE DR # A-1800, TIMNATH, CO 80547-4908
(970) 449-0306
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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