Organization
PERFECT TEETH - PACE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE K. SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
1631 PACE ST, UNITE # B-3, LONGMONT, CO 80501-3054
(303) 684-6524
(303) 684-9295
Mailing address
1631 PACE ST, UNITE # B-3, LONGMONT, CO 80501-3054
(303) 684-6524
(303) 684-9295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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