Individual
CORALEE ELIZABETH HUESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 47TH ST, BOULDER, CO 80301-5469
(303) 442-5000
Mailing address
1829 MYRON CT, ERIE, CO 80516-8957
(720) 250-6269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00205798
CO
Other
Enumeration date
04/11/2022
Last updated
07/03/2024
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