Organization
ORAL HEALTH IMPACT PROJECT COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODIE LYNN BICKLEY (ADMINISTRATIVE)
(866) 916-6447
Entity
Organization
Contact information
Practice address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(866) 916-6447
(267) 927-5007
Mailing address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(866) 916-6447
(267) 927-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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