Organization
MINI MINERS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON GROVER DDS (OWNER/PEDIATRIC DENTIST)
(303) 229-2125
Entity
Organization
Contact information
Practice address
61 ERIE PKWY UNIT 101, ERIE, CO 80516-2592
(303) 500-3202
(303) 732-5009
Mailing address
61 ERIE PKWY UNIT 101, ERIE, CO 80516-2592
(303) 500-3202
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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