Root Groove, Pllc
NPI #1225435381 in Cripple Creek, Colorado
Provider Information
- NPI Number
- 1225435381
- Entity Type
- Organization
- Organization Name
- Root Groove, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2014
- Last Updated
- Dec 4, 2014
Practice Location
- Address
- 1101 TELLER COUNTY ROAD 1
- City
- Cripple Creek
- State
- Colorado
- ZIP Code
- 80813
- Phone
- (719) 689-3565
Authorized Official
- Name
- NICOLE LEADLEY
- Title
- OWNER
- Phone
- (719) 352-6633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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