Individual
CRISPIN HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12510 E ILIFF AVE STE 305, AURORA, CO 80014-5379
(303) 695-0102
Mailing address
2923 WILLOW ST, DENVER, CO 80238-2834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204775
CO
Other
Enumeration date
04/03/2020
Last updated
12/03/2021
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