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General NPI Number Information
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NPI Number | 1184870842
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Entity Type | Organization
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Legal Business Name | FOOTHILLS ENDODONTIC SPECIALISTS, PROF. LLC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 2861 W 120TH AVE STE 230
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City | WESTMINSTER
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State | CO
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Zip | 80234-2985
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Country | US
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Telephone | 720-317-2660
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Fax | 720-317-2661
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Provider Business Mailing Address
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Address Line | 2861 W 120TH AVE STE 230
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City | WESTMINSTER
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State | CO
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Zip | 80234-2985
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KARLA CHRISTINE RING
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Credential | D.M.D.
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Telephone | 720-317-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8648
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License Number State | CO
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