Organization
WILD FOR A SMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH MISCHELLE DOLL DDS (PEDIATRIC DENTIST)
(970) 506-1339
Entity
Organization
Contact information
Practice address
1819 61ST AVENUE, SUITE 101, GREELEY, CO 80634-7986
(970) 506-1339
(970) 339-8500
Mailing address
1819 61ST AVENUE, SUITE 101, GREELEY, CO 80634-7986
(970) 506-1339
(970) 339-8500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8526
CO
Other
Enumeration date
11/17/2006
Last updated
09/22/2014
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