Individual
DR. CAROLYN REEVES DOMINICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-2810
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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