Individual
REBECCA SUZANNE MISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15121 E MISSISSIPPI AVE, AURORA, CO 80012-3746
(303) 802-1022
(303) 802-1023
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61146
KS
122300000X
Dentist
DE60310664
WA
122300000X
Dentist
Primary
DEN00009208
CO
122400000X
Denturist
DD3822
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185147089
—
WA
05
—
1851476089
—
CO
05
—
20113080A
—
KS
05
—
85752011
—
NM
Enumeration date
10/26/2006
Last updated
02/20/2020
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