| Just For Grins Llc | |
|
11876 Stapleton Dr Falcon CO 80831-8438 | |
| (719) 375-0690 | |
| Not Available |
| Full Name | Just For Grins Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11876 Stapleton Dr, Falcon, Colorado |
| Authorized Official Name and Position | Melissa Pamela Talbott (OWNER) |
| Authorized Official Contact | 7193750690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just For Grins Llc 11876 Stapleton Dr Falcon CO 80831-8438 Ph: (719) 375-0690 | Just For Grins Llc 11876 Stapleton Dr Falcon CO 80831-8438 Ph: (719) 375-0690 |
| NPI Number | 1295323731 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295323731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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