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1299 Main St Unit C Windsor CO 80550-5918 | |
(970) 674-3247 | |
(970) 460-0865 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1299 Main St Unit C, Windsor, Colorado |
Authorized Official Name and Position | Jill Mackenzie Shonka (OWNER/DOCTOR) |
Authorized Official Contact | 9706743247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1576 Main Street Windsor CO 80550 Ph: (970) 674-3247 | 1299 Main St Unit C Windsor CO 80550-5918 Ph: (970) 674-3247 |
NPI Number | 1053690651 |
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Provider Enumeration Date | 08/12/2011 |
Last Update Date | 10/21/2024 |
Identifier | Type | State | Issuer |
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1053690651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 10346 (Colorado) | Primary |
Noco Ortho Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Main St Unit C, Windsor, CO 80550 Phone: 970-674-0717 | |