Organization
GLOW COMPREHENSIVE DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK SKINNER (OWNER)
(907) 350-3815
Entity
Organization
Contact information
Practice address
850 W HAPPY CANYON RD, CASTLE ROCK, CO 80108-3908
(303) 688-5705
(303) 688-5731
Mailing address
850 W HAPPY CANYON RD, CASTLE ROCK, CO 80108-3908
(303) 688-5705
(303) 688-5731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10093
CO
122300000X
Dentist
Primary
10514
CO
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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