Just Wisdom Teeth Wheat Ridge

NPI #1588909394 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1588909394
Entity Type: Organization
Organization Name: Just Wisdom Teeth Wheat Ridge
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2012
Last Updated: Dec 5, 2012

Practice Location

Address: 10160 W 50TH AVE UNIT 1
City: Wheat Ridge
State: Colorado
ZIP Code: 80033
Phone: (720) 583-0523

Authorized Official

Name: MRS. APRIL OLNEY
Title: PRACTICE RELATIONS
Phone: (720) 583-0523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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