Individual
DR. COLLEEN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3140 VILLAGE VISTA DR UNIT 108, ERIE, CO 80516-2529
(303) 604-0034
Mailing address
3140 VILLAGE VISTA DR UNIT 108, ERIE, CO 80516-2529
(303) 604-0034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204061
CO
Other
Enumeration date
06/25/2019
Last updated
10/15/2020
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