Winter Mountain, LLC
NPI #1497132294 in Winter Park, Colorado
Provider Information
- NPI Number
- 1497132294
- Entity Type
- Organization
- Organization Name
- Winter Mountain, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 30, 2015
- Last Updated
- Apr 30, 2015
Practice Location
- Address
- 21 KINGS CROSSING ROAD SUITE #206
- City
- Winter Park
- State
- Colorado
- ZIP Code
- 80482
- Phone
- (716) 472-5745
Authorized Official
- Name
- DR. JOSHUA WAYNE RICKS, DDS
- Title
- OWNER/DENTIST
- Phone
- (716) 472-5745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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