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JESSICA LUREE KLABAK D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1003162033

Individual Registrant:
 JESSICA LUREE KLABAK D.D.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
21 KINGS CROSSING STE 107 WINTER PARK, CO 80482-1266 US
Tel: 970-726-5556  Fax: --

Contact information for business:
PO BOX 1266  WINTER PARK, CO 80482-1266 US
Tel: 970-726-5556  Fax: --

Registration Information:
NPI: 1003162033
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CO10756

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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