Provider Demographics
NPI:1851392260
Name:MAURER, AMBER MARIE KUCERA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:MARIE KUCERA
Last Name:MAURER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2478 PATTERSON RD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505
Mailing Address - Country:US
Mailing Address - Phone:970-242-9207
Mailing Address - Fax:970-256-1640
Practice Address - Street 1:2478 PATTERSON RD
Practice Address - Street 2:SUITE 24
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505
Practice Address - Country:US
Practice Address - Phone:970-242-9207
Practice Address - Fax:970-256-1640
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist