Organization
ASPEN LEAF DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARSHALL FREDERICK DMD (OWNER DENTIST)
(970) 674-0250
Entity
Organization
Contact information
Practice address
1190 WEST ASH STREET, SUITE B, WINDSOR, CO 80550
(970) 674-0250
(970) 674-1455
Mailing address
1190 WEST ASH STREET, SUITE B, WINDSOR, CO 80550
(970) 674-0250
(970) 674-1455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8102
CO
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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