Individual
DR. CARISSA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
242 CAMBRIDGE ST, BRUSH, CO 80723-1608
(970) 387-3787
Mailing address
255 N WASHINGTON ST UNIT 118, DENVER, CO 80203-4279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7140-15
WI
1223P0221X
Pediatric Dentistry
Primary
DEN.00203913
CO
Other
Enumeration date
04/09/2013
Last updated
07/17/2019
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