Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 00201811 | CO |
Y | 1223D0004X | Dentist Anesthesiologist | 00201811 | CO |
NPI | 1821344508 |
---|---|
Provider Name | Dr. Rebecca C. Rees |
First Address | Greenwood Village, CO 80111-2990 |
Second Address | Greenwood Village, CO 80111-2990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 14/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27852741 | (05) | CO |