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Organization

RABBIT EARS PLLC

Active
Parent organization
RABBIT EARS PLLC
Other names
A Kidz Dentist
Organization subpart
Yes

Provider details

NPI number
Legal business name
RABBIT EARS PLLC
Authorized official
KOLBY LANCE (OWNER)
(435) 790-4170
Entity
Organization

Contact information

Practice address
1111 W VICTORY WAY STE 104, CRAIG, CO 81625-2954
(970) 879-7976
(970) 879-6710
Mailing address
1111 W VICTORY WAY STE 104, CRAIG, CO 81625-2954
(970) 879-7976
(970) 879-6710

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
01/19/2023
Last updated
01/19/2023
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