Organization
TWIN PEAKS DENTAL & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK SKINNER DMD (OWNER/PRESIDENT)
(303) 774-8300
Entity
Organization
Contact information
Practice address
1325 DRY CREEK DR STE 206, LONGMONT, CO 80503-7748
(303) 774-8300
Mailing address
1325 DRY CREEK DR STE 206, LONGMONT, CO 80503-7748
(303) 774-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00201981
CO
122300000X
Dentist
10514
CO
122300000X
Dentist
201865
CO
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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