| 4th Avenue Family Dentistry, Llc | |
|
390 University Blvd Denver CO 80206-4125 | |
| (303) 333-0771 | |
| (303) 333-0779 |
| Full Name | 4th Avenue Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 390 University Blvd, Denver, Colorado |
| Authorized Official Name and Position | Thomas Swain (DENTIST) |
| Authorized Official Contact | 3033330771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4th Avenue Family Dentistry, Llc 390 University Blvd Denver CO 80206-4125 Ph: (303) 333-0771 | 4th Avenue Family Dentistry, Llc 390 University Blvd Denver CO 80206-4125 Ph: (303) 333-0771 |
| NPI Number | 1013100387 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013100387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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