NPI 1003162033

Jessica Luree Klabak, DDS

Practitioner General Practice Dentistry Winter Park, CO

Practice location

Address: 21 Kings Crossing STE 107, Winter Park, CO 80482-1266
Phone: (970) 726-5556
Mailing address: PO Box 1266, Winter Park, CO 80482-1266

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 10756 (CO)

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Registry record

NPI: 1003162033
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2012
Record last updated: 27 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.