Perfect Teeth - Pace P.c.

NPI #1487825147 in Longmont, Colorado

Provider Information

NPI Number: 1487825147
Entity Type: Organization
Organization Name: Perfect Teeth - Pace P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2008
Last Updated: Mar 20, 2008

Practice Location

Address: 1631 PACE ST
Address 2: UNITE # B-3
City: Longmont
State: Colorado
ZIP Code: 80501-3054
Phone: (303) 684-6524

Authorized Official

Name: LAURIE K. SUMMERS
Title: CREDENTIALING
Phone: (303) 285-6098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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