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NPI 1174099014

NPI 1174099014 : ERIC A. WINTER, D.D.S., P.C. : WESTMINSTER, CO

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General NPI Number Information
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    NPI Number           |    1174099014
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERIC A. WINTER, D.D.S., P.C. 
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Dates
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    Enumeration Date     |    10/18/2018
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    Last Update Date     |    10/18/2018
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Provider Practice Location Address
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    Address Line         |    11961 BRADBURN BLVD UNIT 200 
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    City                 |    WESTMINSTER
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    State                |    CO
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    Zip                  |    80031-5088
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    Country              |    US
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    Telephone            |    303-466-3222
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    Fax                  |    303-466-1464
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Provider Business Mailing Address
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    Address Line         |    11961 BRADBURN BLVD UNIT 200 
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    City                 |    WESTMINSTER
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    State                |    CO
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    Zip                  |    80031-5088
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    Country              |    US
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    Telephone            |    303-466-3222
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    Fax                  |    303-466-1464
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ERIC ASHLEY WINTER 
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    Credential           |    DDS
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    Telephone            |    303-466-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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