Ridge Street Dental
NPI #1225131154 in Breckenridge, Colorado
Provider Information
- NPI Number
- 1225131154
- Entity Type
- Organization
- Organization Name
- Ridge Street Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 213 S. RIDGE ST
- City
- Breckenridge
- State
- Colorado
- ZIP Code
- 80424
- Phone
- (970) 453-1996
Authorized Official
- Name
- DR. NEILL CURTIS SLACK, D.D.S.
- Title
- OWNER
- Phone
- (970) 453-1996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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