| Aspen Leaf Dentistry Pc | |
|
1190 West Ash Street Suite B Windsor CO 80550 | |
| (970) 674-0250 | |
| (970) 674-1455 |
| Full Name | Aspen Leaf Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 1190 West Ash Street, Windsor, Colorado |
| Authorized Official Name and Position | Steven Marshall Frederick (OWNER DENTIST) |
| Authorized Official Contact | 9706740250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Leaf Dentistry Pc 1190 West Ash Street Suite B Windsor CO 80550 Ph: (970) 674-0250 | Aspen Leaf Dentistry Pc 1190 West Ash Street Suite B Windsor CO 80550 Ph: (970) 674-0250 |
| NPI Number | 1851314850 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851314850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8102 (Colorado) | Primary |
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