Individual
DENISE IVONNE CLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
950 BAPTIST RD, MONUMENT, CO 80132-7734
(719) 481-5807
Mailing address
950 BAPTIST RD, MONUMENT, CO 80132-7734
(719) 481-5807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203874
CO
Other
Enumeration date
06/17/2018
Last updated
11/04/2022
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